Individual
MR. LEVON M WONGANYA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
908 MONTICELLO DR, BURLESON, TX 76028-8208
(682) 438-1329
Mailing address
908 MONTICELLO DR, BURLESON, TX 76028-8208
(682) 438-1329
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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