Individual
MRS. JESSICA REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1119 E 3RD ST, CASPER, WY 82601-2905
(307) 266-2772
(307) 266-2076
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
526
WY
Other
Enumeration date
07/12/2011
Last updated
12/31/2024
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