Jessica Jewel Llc | |
4561 Lehigh Dr Walnutport PA 18088-9510 | |
(713) 822-0658 | |
Not Available |
Full Name | Jessica Jewel Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 4561 Lehigh Dr, Walnutport, Pennsylvania |
Authorized Official Name and Position | Jessica Becker (OWNER) |
Authorized Official Contact | 7133220662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jessica Jewel Llc 4561 Lehigh Dr Walnutport PA 18088-9510 Ph: () - | Jessica Jewel Llc 4561 Lehigh Dr Walnutport PA 18088-9510 Ph: (713) 822-0658 |
NPI Number | 1679310254 |
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Provider Enumeration Date | 07/11/2024 |
Last Update Date | 07/11/2024 |
Certification Date | 07/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679310254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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