Individual
SANDRA L. KIENITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 MORNING GLORY CIR, GEORGETOWN, TX 78633-4753
(512) 868-2519
Mailing address
107 MORNING GLORY CIR, GEORGETOWN, TX 78633-4753
(512) 868-2519
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
423653
TX
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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