Individual
JAQUELYN TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7014 KARI LN, RICHMOND, TX 77469-7493
(832) 451-5780
Mailing address
7014 KARI LN, RICHMOND, TX 77469-7493
(832) 451-5780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
959926
TX
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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