Individual
MISS JENE RAE LLASOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
313 N DANIEL SALINAS BLVD STE D, DONNA, TX 78537-2929
(956) 461-2150
Mailing address
313 N DANIEL SALINAS BLVD STE D, DONNA, TX 78537-2929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134027
TX
Other
Enumeration date
07/31/2017
Last updated
09/19/2019
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