Jillian Nichole Derosa-Grund
Jillian Nichole Derosa-Grund is an Optician in Tomball, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
27650 Tomball PkwyTomball, TX 77375-6518
Phone: (281) 541-4811
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1336865633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2022 |
| Last updated in NPPES | October 18, 2022 |
| Certification date | October 18, 2022 |
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