Individual
JEANETTE SIMONA BLANCO-OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2424 WILCREST DR, HOUSTON, TX 77042-2761
(713) 666-8287
Mailing address
5013 RICKY ST, HOUSTON, TX 77033-4318
(281) 727-8925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
929435
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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