Individual
JESSICA NICOLE LANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7229 RIMWOOD ST, LIVE OAK, TX 78233-4227
(210) 573-1409
Mailing address
7229 RIMWOOD ST, LIVE OAK, TX 78233-4227
(210) 573-1409
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523540998
—
TX
Enumeration date
08/26/2018
Last updated
08/26/2018
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