Individual
MISS JILLIAN LACEA JUMAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4240 ALTAMONT PLACE, WHITE PLAINS, MD 20695
(301) 893-2345
Mailing address
4119 MEDICAL DR APT E207, SAN ANTONIO, TX 78229-5857
(210) 687-2999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1379762
TX
Other
Enumeration date
08/21/2023
Last updated
04/25/2024
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