Individual
FRED WAITHAKA KIONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4121 MARVIN D LOVE FWY, SUITE 2000, DALLAS, TX 75224-4800
(972) 709-7702
(972) 709-7708
Mailing address
13154 COIT RD, SUITE 211, DALLAS, TX 75240-5773
(972) 709-7702
(972) 709-7708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011187
TX
Other
Enumeration date
07/10/2007
Last updated
04/22/2009
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