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Individual

MRS. JAMIE NICHOLE ZAPATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17207 FIRECREEK RIDGE DR, HOUSTON, TX 77095-7126
(931) 982-5431
Mailing address
17207 FIRECREEK RIDGE DR, HOUSTON, TX 77095-7126

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330945
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40419449
DRIVER'S LICENSE
TX
Enumeration date
02/20/2018
Last updated
02/20/2018
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