Individual
JANA MICHELLE COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7115 S MASON RD APT 825, RICHMOND, TX 77407-4478
(832) 710-2085
Mailing address
7115 S MASON RD APT 825, RICHMOND, TX 77407-4478
(832) 710-2085
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
315711
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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