Individual
JENIVIE OVADA ISGITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1404 THORNRIDGE RD, AUSTIN, TX 78758-6212
(936) 446-9650
Mailing address
1404 THORNRIDGE RD, AUSTIN, TX 78758-6212
(936) 446-9650
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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