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Jermicka Molder, COSMETOLOGIST
Prosthetic/Orthotic Supplier in Humble, Texas
NPI 1679249627

Jermicka Molder is a Prosthetic/Orthotic Supplier based in Humble, TX. Jermicka Molder practices in Humble, TX and has the professional credentials of COSMETOLOGIST. The NPI Number for Jermicka Molder is 1679249627 and holds a License No. 1608544 (Texas).

The current practice location address for Jermicka Molder is 4570 Fm 1960 Rd E, Humble, TX and can be reached out via phone at 409-455-4391.

Location: 4570 Fm 1960 Rd E, Humble, TX, 77346-2796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679249627
Provider Name
Jermicka Molder
Credential
COSMETOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
4570 Fm 1960 Rd E, Humble, TX, 77346-2796
Phone Number
409-455-4391
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4570 Fm 1960 Rd E
City
Humble
State
Texas
Zip
77346-2418
Phone Number
409-455-4391
Fax Number
person
Provider Business Mailing Address Details
Address
4570 Fm 1960 Rd E
City
Humble
State
Texas
Zip
77346-2418
Phone Number
409-455-4391
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1608544 (Texas)
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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