Individual
JAMIE KOLTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 PRESTWICK LN, RICHARDSON, TX 75080-3013
(785) 845-5449
Mailing address
901 PRESTWICK LN, RICHARDSON, TX 75080-3013
(785) 845-5449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
915069
TX
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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