Individual
MISS JESSICA JO JOYCE LEMOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
310 E BRAZOS ST, GROESBECK, TX 76642-1410
(254) 747-0987
Mailing address
310 E BRAZOS ST, GROESBECK, TX 76642-1410
(254) 747-0987
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
350312
TX
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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