MRS. Tabitha Wanjiru Wachira I, LVN

NPI #1043714314 in Ponder, Texas

Provider Information

NPI Number
1043714314
Entity Type
Individual
Name
MRS. Tabitha Wanjiru Wachira I, LVN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Mar 21, 2018
Last Updated
Mar 21, 2018

Practice Location

Address
12960 N COUNTY LINE RD
City
Ponder
State
Texas
ZIP Code
76259-5149
Phone
(254) 760-5951

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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