Individual
JILL AUDREY WINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
5504 92ND ST, LUBBOCK, TX 79424-4510
(806) 781-6907
Mailing address
5502 92ND ST, LUBBOCK, TX 79424-4510
(806) 781-6907
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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