Jennifer Marie Contreras
Technician, Attendant Care Provider in Fort Worth, TX. Individual provider (NPI-1).
NPI number1962059386
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1962059386
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Marie Contreras
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2019
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
8524 Lake Country DrFort Worth, TX 76179-3109
Phone 562-395-2120
Mailing address
8524 Lake Country DrFort Worth, TX 76179-3109
Phone 562-395-2120
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