Jeston Wade Craig

NPI #1134693617 in Burnet, Texas

Provider Information

NPI Number: 1134693617
Entity Type: Individual
Name: Jeston Wade Craig
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 17, 2019
Last Updated: Jan 17, 2019

Practice Location

Address: 102 S BOUNDARY ST
City: Burnet
State: Texas
ZIP Code: 78611-3202
Phone: (512) 755-6603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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