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Jelissa Nicole
Prosthetic/Orthotic Supplier in Dallas, Texas
NPI 1639769862

Jelissa Nicole is a Prosthetic/Orthotic Supplier based in Dallas, TX. Jelissa Nicole practices in Dallas, TX. The NPI Number for Jelissa Nicole is 1639769862 and holds a License No. (Texas).

The current practice location address for Jelissa Nicole is 18880 Marsh Ln Apt 1902, Dallas, TX and can be reached out via phone at 214-497-8580.

Location: 18880 Marsh Ln Apt 1902, Dallas, TX, 75287-2241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639769862
Provider Name
Jelissa Nicole
Credential
Provider Entity Type
Organization
Address
18880 Marsh Ln Apt 1902, Dallas, TX, 75287-2241
Phone Number
214-497-8580
Fax Number
Provider Enumeration Date
01/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18880 Marsh Ln Apt 1902
City
Dallas
State
Texas
Zip
75287-2241
Phone Number
214-497-8580
Fax Number
person
Provider Business Mailing Address Details
Address
18880 Marsh Ln Apt 1902
City
Dallas
State
Texas
Zip
75287-2241
Phone Number
214-497-8580
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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