Individual
JAZMINE JOYCE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 OAK HARBOR DR, HOUSTON, TX 77062-2532
(832) 630-4813
Mailing address
601 OAK HARBOR DR, HOUSTON, TX 77062-2532
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342291
TX
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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