| Jessica Jewel Llc | |
|
4561 Lehigh Dr Walnutport PA 18088-9510 | |
| (713) 822-0658 | |
| Not Available |
| Full Name | Jessica Jewel Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4561 Lehigh Dr, Walnutport, Pennsylvania |
| Authorized Official Name and Position | Jessica Becker (OWNER) |
| Authorized Official Contact | 7133220662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Jewel Llc 4561 Lehigh Dr Walnutport PA 18088-9510 Ph: () - | Jessica Jewel Llc 4561 Lehigh Dr Walnutport PA 18088-9510 Ph: (713) 822-0658 |
| NPI Number | 1679310254 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679310254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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