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Individual

JESSICA D PROHUSKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
3278 MAIN ST, EAST TROY, WI 53120-1152
(262) 642-4325
Mailing address
814 HAZEL RIDGE RD APT 305, ELKHORN, WI 53121-1251
(262) 475-9661

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
993-55
WI
171100000X
Acupuncturist

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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