MRS. Jennifer Mingboupha, LVN

NPI #1043829336 in Lindale, Texas

Provider Information

NPI Number
1043829336
Entity Type
Individual
Name
MRS. Jennifer Mingboupha, LVN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LVN
Enumeration Date
Jul 23, 2020
Last Updated
Jul 23, 2020

Practice Location

Address
509 MOLLY LN
State
Texas
ZIP Code
75771-6537
Phone
(682) 219-8677

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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