Most Relevant Information
Provider Data
| NPI Number: | 1003474438 |
| Provider Name: | FREDERICH PIEH GBANDAWA LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 227646 |
Most Important Dates
| Enumeration Date: | 05/31/2019 |
| Last Updated: | 05/31/2019 |
Provider Practice Location
599 UNIVERSITY BLVD APT 410
ROUND ROCK
TX
786651084
Practice Location Phone/Fax
| Phone: | 7134747443 |
| Fax: |
Provider Mailing Location
599 UNIVERSITY BLVD APT 410
ROUND ROCK
TX
786651084
Provider Mailing Phone/Fax
| Phone: | 7134747443 |
| Fax: |