LICIAMMA JACOB

PASADENA, TX
NPI1134682347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP138632)
Enumeration Date2019-04-13
Last Update Date2019-04-13
Business Address
LICIAMMA JACOB
4600 E SAM HOUSTON PKWY S
PASADENA, TX 77505-3948
Phone number: 713-948-7388
Mailing Address
LICIAMMA JACOB
2708 RAVEN RIDGE DR
PEARLAND, TX 77584-3442
Phone number: 713-436-1818
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