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1205478724
JISHA MATHEW
LEAGUE CITY, TX
NPI
1205478724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1121908)
Enumeration Date
2019-10-16
Last Update Date
2023-09-22
Business Address
Mrs. JISHA MATHEW APRN
2911 S SHORE BLVD STE 190
LEAGUE CITY, TX 77573-3919
Phone number: 281-538-8188
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Mailing Address
Mrs. JISHA MATHEW APRN
PO BOX 57845
WEBSTER, TX 77598-7845
Phone number: 281-538-8188
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