Individual
JAINA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 BOLTON BOONE DR STE 109, DESOTO, TX 75115-2019
(972) 283-2370
Mailing address
2727 BOLTON BOONE DR STE 109, DESOTO, TX 75115-2019
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
732929
TX
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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