Individual
MISS JESSICA OSEI YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 463-3600
(269) 463-8206
Mailing address
400 MEDICAL PARK DRIVE, WATERVLIET, MI 49098
(269) 463-3600
(269) 463-8206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427077452
—
MI
Enumeration date
07/19/2006
Last updated
07/21/2022
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