Individual
JILL MARIE CHRISTINE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
110 DELLWOOD CT, LA MARQUE, TX 77568-2014
(051) 660-4679
Mailing address
110 DELLWOOD CT, LA MARQUE, TX 77568-2014
(951) 660-4679
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1012876
TX
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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