Individual
JACKLINE SILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 W 15TH ST, PLANO, TX 75075-7299
(972) 673-0404
Mailing address
3005 BLUE HERON DR, MESQUITE, TX 75181-4949
(214) 434-5662
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
313429
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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