Agnes Jeruto Mamboleo - Fort Worth, TX

Agnes Jeruto Mamboleo

Licensed Practical Nurse in Fort Worth, Texas

NPI 1750926630

Agnes Jeruto Mamboleo is a Licensed Practical Nurse based in Fort Worth, TX. Agnes Jeruto Mamboleo practices in Fort Worth, TX. The NPI Number for Agnes Jeruto Mamboleo is 1750926630 and holds a License No. LP35237 (Texas).

The current practice location address for Agnes Jeruto Mamboleo is 4921 Woodmeadow Dr, Fort Worth, TX and can be reached out via phone at 301-204-6081.

Location: 4921 Woodmeadow Dr, Fort Worth, TX, 76135-1824

NPI Number

1750926630

Provider Name

Agnes Jeruto Mamboleo

Credential

Provider Entity Type

Individual

Gender

Female

Address

4921 Woodmeadow Dr, Fort Worth, TX, 76135-1824

Phone Number

301-204-6081

Fax Number

Provider Enumeration Date

11/14/2019

Last Update Date

03/10/2024

Address

4921 Woodmeadow Dr

City

Fort Worth

State

Texas

Zip

76135-1824

Phone Number

301-204-6081

Fax Number

Address

4921 Woodmeadow Dr

City

Fort Worth

State

Texas

Zip

76135-1824

Phone Number

301-204-6081

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

LP35237 (Maryland)

Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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