Individual
JESSICA CROGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6455 NE 9TH CT, DES MOINES, IA 50313-1511
(712) 830-6234
Mailing address
6455 NE 9TH CT, DES MOINES, IA 50313-1511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
155186
IA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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