Individual
ANDREA LYNN JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
Mailing address
2306 20TH AVE, ROCK ISLAND, IL 61201-3643
(309) 230-4155
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000481
IL
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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