Individual
JAMISHA LEVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 SKYLINE DR, COPPERAS COVE, TX 76522-3257
(254) 285-7345
Mailing address
706 SKYLINE DR, COPPERAS COVE, TX 76522-3257
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
27241
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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