Individual
JENNIFER DENISE MCGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
804 HEAVENS DR, SUITE 201, MANDEVILLE, LA 70471-2890
(985) 845-4538
(866) 845-8810
Mailing address
848 W 24TH ST, HOUSTON, TX 77008-1738
(281) 250-7055
(832) 519-9548
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
992
CERTIFICATION
TX
Enumeration date
04/10/2007
Last updated
07/08/2007
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