Individual
PATSY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 MARGIE HARRELL ST, DIBOLL, TX 75941-2300
(936) 829-5762
Mailing address
321 MARGIE HARRELL ST, DIBOLL, TX 75941-2300
(936) 829-5762
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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