Individual
JESSAMI CADDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 MAIN ST, 4, SPRINGFIELD, CO 81073-1548
(719) 523-6621
Mailing address
741 MAIN ST, 4, SPRINGFIELD, CO 81073-1548
(719) 523-6621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0184503
CO
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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