Individual
JAQUELINE LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030B FM 1942 RD, CROSBY, TX 77532-6391
(832) 716-8729
Mailing address
2030B FM 1942 RD, CROSBY, TX 77532-6391
(832) 716-8729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
943486
TX
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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