JELISSA NICOLE

DALLAS, TX
NPI1639769862
Entity TypeOrganization
Authorized ContactJELISSA BATES
Owner
214-497-8580
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2021-01-21
Last Update Date2021-01-21
Business Address
JELISSA NICOLE
18880 MARSH LN APT 1902
DALLAS, TX 75287-2241
Phone number: 214-497-8580
Mailing Address
JELISSA NICOLE
18880 MARSH LN APT 1902
DALLAS, TX 75287-2241
Phone number: 214-497-8580
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