Individual
MR. GEORGE MURIITHI WANJIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
14100 MONTFORT DR APT 4206, DALLAS, TX 75254-3040
(469) 360-0909
Mailing address
14100 MONTFORT DR APT 4206, DALLAS, TX 75254-3040
(469) 360-0909
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26117034
ID
TX
01
—
311553
LVM LICENSE
TX
Enumeration date
02/21/2018
Last updated
02/21/2018
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