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Individual

MRS. JESSICA DEE SOLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
13401 I-10 EAST, MONT BELVIEU, TX 77523
(281) 420-9300
(281) 576-3583
Mailing address
PO BOX 1056, ANAHUAC, TX 77514-1056
(281) 659-6748

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
112253
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112253
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
01/29/2021
Last updated
01/29/2021
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