Individual
JALISA LARAY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
781 SUNDANCE CT, PROSPER, TX 75078-7605
(972) 948-0095
Mailing address
781 SUNDANCE CT, PROSPER, TX 75078-7605
(972) 948-0095
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
660939
TX
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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