JENNY IDICULA

AUSTIN, TX
NPI1083291637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1052820)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  860986)
Enumeration Date2021-03-28
Last Update Date2021-08-31
Business Address
JENNY IDICULA
7421 WOLVERINE ST
AUSTIN, TX 78757-1523
Phone number: 214-909-0167
Mailing Address
JENNY IDICULA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999