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Individual

JENNY HATHEWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1838 TALISMAN ST, CORPUS CHRISTI, TX 78416-1544
(361) 728-3454
Mailing address
1838 TALISMAN ST, CORPUS CHRISTI, TX 78416-1544
(361) 728-3454

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
349997
TX

Other

Enumeration date
03/10/2020
Last updated
03/10/2020
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