Individual
MRS. KANCHANA RAJENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 SEASHELL LN, GARLAND, TX 75043-4857
(203) 564-0500
Mailing address
5009 SEASHELL LN, GARLAND, TX 75043-4857
(203) 564-0500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP141669
TX
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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