Individual
JESSIKA JEAN JAMGOCHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2021
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(715) 847-2021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8472-33
WI
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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