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Individual
JACQUELINE FARIAS
Active
Individual
JACQUELINE FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
902067
TX
363LF0000X
Family Nurse Practitioner
Primary
1040090
TX
Other
Enumeration date
12/05/2020
Last updated
10/15/2025
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