PRUDENTIA CHAH AKUM
Individual Provider (NPI-1)
Active
Licensed Vocational Nurse
Provider Information
- NPI Number
1902394554- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 525 GRANADA DR, GARLAND, TX, 750435119
- Phone
- (972) 201-4979
Specialties & Taxonomies
Licensed Vocational Nurse
Primary License: TX #309486