Individual
JESSICA LOUISE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
130 PARK LN W, HARLINGEN, TX 78552-4920
(956) 245-7972
Mailing address
130 PARK LN W, HARLINGEN, TX 78552-4920
(956) 245-7972
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
208839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/25/2018
Last updated
04/03/2020
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