Individual
JERMICKA MOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
4570 FM 1960 RD E, HUMBLE, TX 77346-2418
(409) 455-4391
Mailing address
8923 SAILING DR, HUMBLE, TX 77346-2796
(409) 455-4391
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1608544
TX
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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