Individual
MR. CARLOS J DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
225 HARRALTON CIR, DEVINE, TX 78016-2301
(210) 238-1919
Mailing address
225 HARRALTON CIR, DEVINE, TX 78016-2301
(210) 238-1919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
799225
TX
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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