Provider Demographics
NPI:1730661232
Name:NEIGH, JESSICA SANCHEZ
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SANCHEZ
Last Name:NEIGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 SAN DARIO AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5749
Mailing Address - Country:US
Mailing Address - Phone:956-725-0171
Mailing Address - Fax:956-728-7441
Practice Address - Street 1:4801 SAN DARIO AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5749
Practice Address - Country:US
Practice Address - Phone:956-725-0171
Practice Address - Fax:956-728-7441
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40766183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist