| Agnes Jeruto Mamboleo, | |
|
4921 Woodmeadow Dr, Fort Worth, TX 76135-1824 | |
| (301) 204-6081 | |
| Not Available |
| Full Name | Agnes Jeruto Mamboleo |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 4921 Woodmeadow Dr, Fort Worth, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750926630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP35237 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Agnes Jeruto Mamboleo, 4921 Woodmeadow Dr, Fort Worth, TX 76135-1824 Ph: (301) 204-6081 | Agnes Jeruto Mamboleo, 4921 Woodmeadow Dr, Fort Worth, TX 76135-1824 Ph: (301) 204-6081 |
Lashandria Belenda Knight, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9024 Sunridge Cir Apt 517, Fort Worth, TX 76120 Phone: 601-983-0521 | |
Dorothy Holloway, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5900 Paloma Blanca Dr, Fort Worth, TX 76179 Phone: 816-682-5492 | |
Mrs. Latha Mathew Thomas, RN,FNP Licensed Practical Nurse Medicare: Accepting Medicare Assignments Practice Location: 3529 Heritage Trace Pkwy Ste 137, Fort Worth, TX 76244 Phone: 817-741-7570 | |
Joyce Fagbeyiro, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022 | |
Elizabeth Armstrong, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1101 S, Main St, Fort Worth, TX 76104 Phone: 817-321-4913 | |
Secret Kunkle, LVN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4801 Brentwood Stair Rd Ste 404, Fort Worth, TX 76103 Phone: 817-492-9383 Fax: 817-492-9575 | |
Judy Beigle, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1314 Lake St, Fort Worth, TX 76102 Phone: 817-810-0660 |