Individual
JEANETTA MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E GLADIOLA ST, WHITE OAK, TX 75693-1707
(903) 235-4741
Mailing address
103 E GLADIOLA ST, WHITE OAK, TX 75693-1707
(903) 235-4741
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
982157
TX
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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