Individual
JESSICA THOUVENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
7381 BLACK MESA DR, EL PASO, TX 79911-3034
(575) 640-1857
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN-82813
NM
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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