Individual
JOI GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
927 SWEETGUM LN, ROUND ROCK, TX 78665-7460
(312) 912-3971
Mailing address
927 SWEETGUM LN, ROUND ROCK, TX 78665-7460
(312) 912-3971
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
12345678
TX
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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