Individual
ANDREEN MARY GRIGEREK-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 CHARITY DR, POTTSBORO, TX 75076-3838
(214) 385-9340
Mailing address
41 CHARITY DR, POTTSBORO, TX 75076-3838
(214) 385-9340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
679289
TX
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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