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Individual

JISHA JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6306 FALLING BRIAR LN, SUGAR LAND, TX 77479-4487
(832) 353-4855
Mailing address
6306 FALLING BRIAR LN, SUGAR LAND, TX 77479-4487
(832) 353-4855

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
762332
TX

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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