Jedidah, Grace Syombua
Jedidah, Grace Syombua is an individual health care provider with primary practice located at 1024 E Broad St Ste 207 , Mansfield TX 76063-7702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jedidah, Grace Syombua can be contacted via phone (682) 518-3323.Contact Information
Primary practice address
1024 E Broad St Ste 207
Mansfield TX 76063-7702
Phone: (682) 518-3323
Fax: (682) 518-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1059626 | Texas |
Profile Details
| NPI number | 1386375665 |
|---|---|
| LBN Legal business name | Jedidah, Grace Syombua |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2022 |
| Last updated | Jun 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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