Individual
EBRIMA JOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 PALUXY DR APT 1050, TYLER, TX 75703-2153
(571) 598-5510
Mailing address
4400 PALUXY DR APT 1050, TYLER, TX 75703-2153
(571) 598-5510
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347034
TX
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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