Individual
JESSICA CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LAWNMONT AVE APT 120, AUSTIN, TX 78756-1950
(512) 825-9168
Mailing address
2211 LAWNMONT AVE APT 120, AUSTIN, TX 78756-1950
(512) 825-9168
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/09/2016
Last updated
01/09/2016
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