Individual
JENNIFER BORREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-1488
(903) 315-1656
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-1488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP129361
TX
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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