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Individual

JAMESETTA WILLIAMS KIDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
324 GENTRY ST, SPRING, TX 77373-8316
(832) 797-6589
(281) 583-8527
Mailing address
1514 BODART DR, HOUSTON, TX 77090-2406
(832) 797-6589
(281) 583-8537

Taxonomy

Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
Primary

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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