Individual
JESSY ROY EMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
205 WEST STATE STREET, SUITE 1, PRINCETON, IN 47670
(812) 385-0112
Mailing address
205 WEST STATE STREET, SUITE 1, PRINCETON, IN 47670
(812) 385-0112
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001528A
IN
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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