Individual
JESSICA MARIE TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1901 JONATHON DR, MISSION, TX 78572-8362
(956) 655-4772
Mailing address
1901 JONATHON DR, MISSION, TX 78572-8362
(956) 655-4772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2078527
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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