Individual
BRIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4721 ANGELA DR, CORPUS CHRISTI, TX 78416-2120
(785) 760-2647
Mailing address
4721 ANGELA DR, CORPUS CHRISTI, TX 78416-2120
(785) 760-2647
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347798
TX
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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