Individual
ALISSA JESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
25212 STOCKPORT ST APT 198, LAGUNA HILLS, CA 92653-4945
(715) 587-4534
Mailing address
25212 STOCKPORT ST APT 198, LAGUNA HILLS, CA 92653-4945
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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