AGNES JERUTO MAMBOLEO

FORT WORTH, TX
NPI1750926630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MD  LP35237)
Enumeration Date2019-11-14
Last Update Date2019-11-14
Business Address
AGNES JERUTO MAMBOLEO
4921 WOODMEADOW DR
FORT WORTH, TX 76135-1824
Phone number: 301-204-6081
Mailing Address
AGNES JERUTO MAMBOLEO
4921 WOODMEADOW DR
FORT WORTH, TX 76135-1824
Phone number: 301-204-6081
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