Individual
JESSIE LOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 ARLINGTON ST, COLUMBIA, MO 65203-0703
(573) 823-5447
Mailing address
3104 ARLINGTON ST, COLUMBIA, MO 65203-0703
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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