Individual
JESSICA SOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 128TH PL, CRESTWOOD, IL 60445-1124
(708) 227-6395
Mailing address
5401 128TH PL, CRESTWOOD, IL 60445-1124
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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