Individual
JACKIE L. MERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 W HERON ST, DENISON, TX 75020-6115
(754) 779-0182
Mailing address
721 W HERON ST, DENISON, TX 75020-6115
(754) 779-0182
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
133249
TX
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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