Individual
JENNIFER TARIN HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4340 PEKRUL CIR, ODESSA, TX 79766
(432) 770-8732
Mailing address
4340 PEKRUL CIR, ODESSA, TX 79766
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
02/28/2018
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