Individual
JENNIFER LYNN PSOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8515 BOULEVARD 26 APT 902, NORTH RICHLAND HILLS, TX 76180-5641
(682) 308-2571
Mailing address
8515 BOULEVARD 26 APT 902, NORTH RICHLAND HILLS, TX 76180-5641
(682) 308-2571
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222926
TX
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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