Jessica Louise Licea

NPI #1508623273 in Hewitt, Texas

Provider Information

NPI Number
1508623273
Entity Type
Individual
Name
Jessica Louise Licea
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Feb 29, 2024
Last Updated
Oct 23, 2024

Practice Location

Address
510 N HEWITT DR
City
Hewitt
State
Texas
ZIP Code
76643-3038
Phone
(254) 420-5000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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