SIMBA K MUKETIWA

ALLEN, TX
NPI1407232341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP129372)
Enumeration Date2015-08-03
Last Update Date2022-04-06
Business Address
SIMBA K MUKETIWA
104 PARKHURST LANE
ALLEN, TX 75013
Phone number: 469-688-3437
Mailing Address
SIMBA K MUKETIWA
104 PARKHURST LANE
ALLEN, TX 75013
Phone number: 469-688-3437