Individual
CLAIRE MUTEBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 PRESTON RD STE W120, DALLAS, TX 75240-4911
(972) 702-0300
Mailing address
3611 GARRETT RD, EULESS, TX 76040-6627
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
325124
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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