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NPI Profile for REBECCA A MWONGA in GRAND PRAIRIE, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Administrator |
163WA2000X |
| NPI # | 1376734335 |
|
| Status | Active | |
| Credentials | RN, BSN | |
| Entity | Individual | |
| Enumeration date | 08/06/2007 | |
| Last updated | 08/10/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REBECCA A MWONGA
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REBECCA A MWONGA, RN, BSN