Individual
JACQUELYN GRACE STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2801 S LAKELINE BLVD APT 11102, CEDAR PARK, TX 78613-1785
(512) 680-9224
Mailing address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 828-3990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
881288
TX
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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