Individual
MRS. JASICA VESTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FSD
Contact information
Practice address
22518 CONESTOGA RD APT 1, FORT RILEY, KS 66442-3199
(931) 320-9847
Mailing address
22518 CONESTOGA RD APT 1, FORT RILEY, KS 66442-3199
(931) 272-6803
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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