Individual
LUCY WAWERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15517 PRESTON RD APT 2206, DALLAS, TX 75248-4873
(603) 820-5953
Mailing address
15517 PRESTON RD APT 2206, DALLAS, TX 75248-4873
(603) 820-5953
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1009347
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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