Individual
JENNIFER NIEHUS VASSILAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1002 AVENUE A, KATY, TX 77493-2462
(504) 710-1456
(281) 391-9081
Mailing address
1002 AVENUE A, KATY, TX 77493-2462
(504) 710-1456
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99433
TX
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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