Individual
MICHAELA LEIGH JEANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 E COURT ST, SEGUIN, TX 78155-5131
(830) 379-0160
(866) 589-4225
Mailing address
4011 WINDMILL, MARION, TX 78124-1384
(210) 315-2124
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
333501
TX
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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