Individual
LUPITA JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2745 AVENUE H, INGLESIDE, TX 78362-6309
(361) 633-4747
Mailing address
2745 AVENUE H, INGLESIDE, TX 78362-6309
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
324319
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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