Individual
CLAIRE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7934 CHESTNUT BARR DR, CONVERSE, TX 78109-3113
(210) 908-8970
Mailing address
7934 CHESTNUT BARR DR, CONVERSE, TX 78109-3113
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352302
TX
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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