Individual
MARICEL ANTONIO JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3443 N MACARTHUR BLVD, IRVING, TX 75062-4411
(469) 586-4424
Mailing address
214 KNAPFORD STA, EULESS, TX 76040-3212
(972) 730-1002
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1214223
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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