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Individual

MRS. JESSICA FARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
324090

Contact information

Practice address
5510 N CAGE BLVD STE P, PHARR, TX 78577-1813
(956) 787-3544
Mailing address
5510 N CAGE BLVD STE P, PHARR, TX 78577-1813
(956) 787-3544

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324090
TX

Other

Enumeration date
06/30/2016
Last updated
06/30/2016
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