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Individual

MRS. JENNIFER CHAGHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN/CNA/PCH

Contact information

Practice address
4606 LA MARQUESA ST, SAN ANTONIO, TX 78233
(210) 776-3750
Mailing address
4606 LA MARQUESA ST, SAN ANTONIO, TX 78233
(210) 776-3750

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
TX
372600000X
Adult Companion
TX
374T00000X
Religious Nonmedical Nursing Personnel
TX
376K00000X
Nurse's Aide
Primary
NA00268312
TX

Other

Enumeration date
07/27/2020
Last updated
07/27/2020
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