Individual
JETTA L ALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
1207 SE RIVERSIDE DR, EVANSVILLE, IN 47713-1166
(812) 484-2689
Mailing address
1207 SE RIVERSIDE DR, EVANSVILLE, IN 47713-1166
(812) 484-2689
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
95829
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001069797
ANTHEM BCBS
IN
Enumeration date
08/27/2008
Last updated
05/03/2019
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