Individual
DR. JESSICA ANNE WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 N MAIN ST, LIMA, OH 45801-2823
(419) 812-2170
Mailing address
5177 SHOSHONE TRL, LIMA, OH 45805-4117
(419) 890-7252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03234050
OH
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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