Individual
MRS. JESSICA LEE HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W PIKE BLVD, SUITE C, WESLACO, TX 78596-4706
(956) 647-5061
(956) 647-5157
Mailing address
413 W PIKE BLVD, SUITE C, WESLACO, TX 78596-4706
(956) 647-5061
(956) 647-5157
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80553
TX
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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