NPI 1083176283
Mary Claire Jolly, FITTERDISPENSER
Practice location
- Address
- 4746 S Broadway Ave, Tyler, TX 75703-1308
- Phone
- (903) 561-8774
- Fax
- (903) 561-8787
- Mailing address
- 346 Baganie Ln, Bullard, TX 75757-3010
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1083176283
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Apr 2019
- Record last updated
- 5 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.