Individual
JESSICA WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 OHIO ST, BIG SPRING, TX 79720-1037
(432) 816-3635
Mailing address
803 OHIO ST, BIG SPRING, TX 79720-1037
(432) 816-3635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778731
TX
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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