Individual
ALICE JESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 N CENTRAL AVE, MEDFORD, OR 97501-5926
(541) 441-5473
Mailing address
4300 S BUS 281, EDINBURG, TX 78539-9650
(956) 279-9744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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