Individual
JESSICA RENEE' SINGLETARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 VICTORY DR APT 1305, HOUSTON, TX 77088-7241
(832) 301-2394
Mailing address
4444 VICTORY DR APT 1305, HOUSTON, TX 77088-7241
(832) 301-2394
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08998128
TEXAS DRIVER LICENSE
TX
Enumeration date
05/03/2019
Last updated
05/03/2019
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