Individual
JACQUELINE TOURVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 VALLEY RIDGE DR, RED OAK, TX 75154-4702
(512) 318-6831
Mailing address
411 VALLEY RIDGE DR, RED OAK, TX 75154-4702
(512) 318-6831
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
107283
TX
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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