Individual
MRS. PRINCY P THERUVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2751 KENEDY LN, GRAND PRAIRIE, TX 75052-0735
(530) 339-0074
Mailing address
2751 KENEDY LN, GRAND PRAIRIE, TX 75052-0735
(530) 339-0074
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
766170
TX
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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