Individual
MS. JESSA MARIE KRISSOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
10792 CEDAR AVE, GRASS VALLEY, CA 95945-6007
(530) 415-4110
Mailing address
10792 CEDAR AVE, GRASS VALLEY, CA 95945-6007
(530) 415-4110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
NV
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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