Individual
MRS. TERESIA MWANGO MAANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2415 CARSON TRL, GRAND PRAIRIE, TX 75052-7865
(817) 602-0174
Mailing address
2415 CARSON TRL, GRAND PRAIRIE, TX 75052-7865
(817) 602-0174
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341862
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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