Individual
JESSICA RENEE CLASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2927 E SENNETT ST, WICHITA, KS 67211-3851
(303) 829-5820
Mailing address
2927 E SENNETT ST, WICHITA, KS 67211-3851
(303) 829-5820
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13-119853-071
KS
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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