Mrs. Jessica Khamvongsa
Mrs. Jessica Khamvongsa is a Durable Medical Equipment & Medical Supplies in Bedford, Texas. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2812 Jasmine CtBedford, TX 76021-2703
Phone: (817) 505-3488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1649865387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2021 |
| Last updated in NPPES | March 4, 2021 |
| Certification date | March 4, 2021 |
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