Individual
DR. JESSICA ANN WATERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1434 E MAIN ST, WATERTOWN, WI 53094-4035
(920) 261-5607
Mailing address
N3641 STATE ROAD 146, FALL RIVER, WI 53932-9512
(608) 513-7876
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5709-12
WI
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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