Jillian Nichole Derosa-Grund

NPI #1336865633 in Tomball, Texas

Provider Information

NPI Number
1336865633
Entity Type
Individual
Name
Jillian Nichole Derosa-Grund
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 18, 2022
Last Updated
Oct 18, 2022

Practice Location

Address
27650 TOMBALL PKWY
State
Texas
ZIP Code
77375-6518
Phone
(281) 541-4811

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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