Individual
JAILEEN GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9638 BEVERLYHILL STREET, HOUSTON, TX 77063
(713) 857-5903
Mailing address
9638 BEVERLYHILL ST, HOUSTON, TX 77063
(713) 857-5903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2126732
TX
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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