Individual
MS. JESSICA LAUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 N DIXIE HWY, OAKLAND PARK, FL 33334-3447
(954) 772-1220
(954) 771-5551
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108957
FL
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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