Individual
ANTALISHA JACQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 SYCAMORE SPRINGS DR, SUITE NUMBER 179, KINGWOOD, TX 77339-1330
(346) 804-1015
Mailing address
2921 SYCAMORE SPRINGS DRIVE, SUITE NUMBER 179, KINGWOOD, TX 77339
(346) 804-1015
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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