JENAH NUGENT-FULLAM

SAN ANTONIO, TX
NPI1306223326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  110529)
Enumeration Date2015-04-28
Last Update Date2015-04-28
Business Address
-- JENAH NUGENT-FULLAM
5034 NEW FOREST ST APT 8309
SAN ANTONIO, TX 78229-5468
Phone number: 210-281-5401
Mailing Address
-- JENAH NUGENT-FULLAM
23519 ENCHANTED PATH
SAN ANTONIO, TX 78260-4337
Phone number: 321-634-2327
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