Individual
JESSICA GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 W 22ND ST, MISSION, TX 78572-2719
(956) 780-4022
Mailing address
406 W 22ND ST, MISSION, TX 78572-2719
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W236982620
AETNA
—
Enumeration date
02/19/2018
Last updated
02/19/2018
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