Individual
JESSICA ANDREA GOMEZ CHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ASH DR, DENISON, TX 75020-6406
(903) 337-6844
Mailing address
130 ASH DR, DENISON, TX 75020-6406
(903) 337-6844
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345494
TX
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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