Jelissa Nicole
Jelissa Nicole is a Prosthetic/Orthotic Supplier in Dallas, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
18880 Marsh Ln Apt 1902Dallas, TX 75287-2241
Phone: (214) 497-8580
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1639769862 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jelissa Bates — Owner · (214) 497-8580 |
| NPI enumerated | January 21, 2021 |
| Last updated in NPPES | January 21, 2021 |
| Certification date | January 21, 2021 |
| Mailing address | 18880 Marsh Ln Apt 1902, Dallas, TX 75287-2241 |
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