Individual
JESSICA LEZAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13748 PETUNIA DR, SAN ELIZARIO, TX 79849-8957
(915) 260-1302
Mailing address
13748 PETUNIA DR, SAN ELIZARIO, TX 79849-8957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2165274
TX
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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