Individual
JENISHA RAE MERMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(520) 308-9190
Mailing address
327 W SUNSET RD APT 2228, SAN ANTONIO, TX 78209-1750
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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