Jessica Khamvongsa
Durable Medical Equipment & Medical Supplies in Bedford, TX. Individual provider (NPI-1).
NPI number1649865387
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1649865387
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Khamvongsa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2021
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
2812 Jasmine CtBedford, TX 76021-2703
Phone 817-505-3488
Mailing address
2812 Jasmine CtBedford, TX 76021-2703
Phone 817-505-3488
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All 23 Durable Medical Equipment & Medical Supplies providers in Bedford · All 1,578 providers in Bedford
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