Individual
BETH MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5159 VERDE VALLEY LN APT 2105, DALLAS, TX 75254-7422
(972) 702-0300
Mailing address
5159 VERDE VALLEY LN APT 2105, DALLAS, TX 75254-7422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332060
TX
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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