Individual
MRS. JENNIFER KAY DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7349 SIMMONS RD, DIANA, TX 75640-3905
(903) 806-4182
Mailing address
7349 SIMMONS RD, DIANA, TX 75640-3905
(903) 806-4182
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345657
TX
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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