Individual
KIMBERLY GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 MARQUART ST STE 209, HOUSTON, TX 77027-6027
(713) 799-2200
Mailing address
18325 KINGSLAND BLVD APT 731, HOUSTON, TX 77094-1511
(346) 302-4376
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339565
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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