Individual
JESSICA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 E BONHAM ST, TOM BEAN, TX 75491-3580
(903) 357-1642
Mailing address
PO BOX 93, TOM BEAN, TX 75489-0093
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
229621
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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