Individual
ELOISA JARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4953 E RIDGE CREEK DR, HOUSTON, TX 77053-4638
(832) 578-8339
Mailing address
4953 E RIDGE CREEK DR, HOUSTON, TX 77053-4638
(832) 578-8339
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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