Individual
JESSICA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
311 WITHERS ST, DENTON, TX 76201-3209
(940) 765-3802
Mailing address
311 WITHERS ST, DENTON, TX 76201-3209
(940) 765-3802
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1017048
TX
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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