Individual
JEROME WATSON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4015 22ND PL, LUBBOCK, TX 79410-1119
(806) 725-0000
Mailing address
408 PRENTISS AVE, LUBBOCK, TX 79416-3725
(806) 777-8888
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
962197
TX
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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