Individual
MRS. KENYATTA MONIECE DUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3501 PAMPAS CREEK DR, DALLAS, TX 75227-5221
(662) 616-0254
Mailing address
3501 PAMPAS CREEK DR, DALLAS, TX 75227-5221
(662) 616-0254
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227967
TX
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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