Individual
JACQUELINE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10570 W US HIGHWAY 60 APT 55, CANYON, TX 79015-5750
(214) 537-8332
Mailing address
10570 W US HIGHWAY 60 APT 55, CANYON, TX 79015-5750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
943608
TX
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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