Individual
BRIDGETTE KINGSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
366 FM 1488 RD APT 132, CONROE, TX 77384-4184
(818) 849-4067
Mailing address
366 FM 1488 RD APT 132, CONROE, TX 77384-4184
(818) 849-4067
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344793
TX
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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