Individual
JESSIKA D MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15730 WISTERIA HILL ST, HOUSTON, TX 77073-5692
(504) 316-1538
Mailing address
15730 WISTERIA HILL ST, HOUSTON, TX 77073-5692
(504) 316-1538
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
009625572
LA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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