Individual
JETTA KAY MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 CHRIS THOMPSON RD, VICTORIA, TX 77905-3399
(361) 218-7102
Mailing address
622 CHRIS THOMPSON RD, VICTORIA, TX 77905-3399
(361) 218-7102
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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