Most Relevant Information
Provider Data
NPI Number: | 1003423047 |
Provider Name: | KATHY KIM-NHUNG DUONG |
Entity Type: | Individual |
Taxonomy Code: | 164X00000X |
Specialty: | Licensed Vocational Nurse |
License Number: | 344992 |
Most Important Dates
Enumeration Date: | 09/24/2020 |
Last Updated: | 09/24/2020 |
Provider Practice Location
2306 BOISE DR
ODESSA
TX
797622109
Practice Location Phone/Fax
Phone: | 4328538932 |
Fax: |
Provider Mailing Location
2306 BOISE DR
ODESSA
TX
797622109
Provider Mailing Phone/Fax
Phone: | 4328538932 |
Fax: |