NPI 1518310861

Jatavia Douglas

Practitioner Other Technician San Marcos, TX

Practice location

Address: 1655 Mill St APT 825, San Marcos, TX 78666-6862
Phone: (254) 495-6433

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Texas →

Registry record

NPI: 1518310861
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2016
Record last updated: 21 Jul 2016

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.