Individual
JESSICA SERPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
383 MAYNARD ST, POPE AFB, NC 28308-2321
(910) 394-4678
Mailing address
76 BLADEN ST, SPRING LAKE, NC 28390-9191
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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