Individual
JEANINE GRUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
(254) 553-5801
(254) 547-3297
Mailing address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
(254) 553-5801
(254) 547-3297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
652323
TX
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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