Individual
JACQUELINE MINARD REDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10703 RR 12, WIMBERLEY, TX 78676-5239
(737) 268-5610
(512) 690-0171
Mailing address
10703 RR 12, WIMBERLEY, TX 78676-5239
(737) 268-5610
(512) 690-0171
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211850
TX
Other
Enumeration date
12/28/2021
Last updated
02/06/2022
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