Individual
MARVELOUS KIRVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 HATTER, MOODY, TX 76557-4081
(254) 716-9767
Mailing address
304 HATTER, MOODY, TX 76557-4081
(254) 716-9767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
782701
TX
163WH0200X
Home Health Registered Nurse
Primary
782701
TX
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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