Individual
JEANNIE E GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5724 BIRCHMAN AVE, FORT WORTH, TX 76107-4625
(915) 780-8774
Mailing address
5724 BIRCHMAN AVE, FORT WORTH, TX 76107-4625
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308707
TX
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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