PRAJNAWATI WIBOWO

DALLAS, TX
NPI1760959696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP139122)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP139122)
Enumeration Date2018-10-29
Last Update Date2024-02-21
Business Address
PRAJNAWATI WIBOWO NP
5301 ALPHA RD STE 80-3
DALLAS, TX 75240-4355
Phone number: 682-215-1691
Mailing Address
PRAJNAWATI WIBOWO NP
5301 ALPHA RD STE 80-3
DALLAS, TX 75240-4355
Phone number: 682-215-1691