Individual
MRS. JESSICA R. PELUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 KEYSER AVE, NATCHITOCHES, LA 71457-6020
(318) 214-5770
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 663-6131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2004012769
MO
363AM0700X
Medical Physician Assistant
Primary
A10533
LA
Other
Enumeration date
05/22/2006
Last updated
01/12/2021
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