Individual
JACKELY MEZA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 S HARRISON ST, AMARILLO, TX 79109-2516
(806) 290-0473
Mailing address
2803 S HARRISON ST, AMARILLO, TX 79109-2516
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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