Individual
JESSICA BRIANNE DETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1023 W HIGHWAY 30, GONZALES, LA 70737-5002
(225) 743-2366
(225) 743-2369
Mailing address
1023 W HIGHWAY 30, GONZALES, LA 70737-5002
(225) 743-2366
(225) 743-2369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
02/21/2020
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