Individual
JESSICA TRACY KAROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
300 S BLUE JAY CT, WEATHERFORD, TX 76088-3878
(904) 254-9230
Mailing address
300 S BLUE JAY CT, WEATHERFORD, TX 76088-3878
(904) 254-9230
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341217
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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