Individual
JENNIFER CORTINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 BUCKSKIN DR, ROUND ROCK, TX 78681-6503
(512) 552-4209
Mailing address
601 BUCKSKIN DR, ROUND ROCK, TX 78681-6503
(512) 552-4209
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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