Individual
JENNY U TASIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(903) 532-1400
Mailing address
6600 SPRUCEWOOD LN APT 1302, ARLINGTON, TX 76017-0621
(817) 503-5083
(817) 503-5083
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332661
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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