Individual
JHISTOPHER PALCO LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4418 ANNANDALE LN, ROSHARON, TX 77583-4902
(304) 699-9895
Mailing address
4418 ANNANDALE LN, ROSHARON, TX 77583-4902
(304) 699-9895
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1116580
TX
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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