Individual
JARA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 ATASCADERO DR, MANVEL, TX 77578-4555
(832) 387-2549
Mailing address
44 ATASCADERO DR, MANVEL, TX 77578-4555
(832) 387-2549
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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