Individual
MS. JESSICA ALISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2555 E 13TH ST STE 110, LOVELAND, CO 80537-5134
(970) 820-4264
Mailing address
2555 E 13TH ST STE 110, LOVELAND, CO 80537-5134
(970) 820-6140
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005939
GA
Other
Enumeration date
10/15/2010
Last updated
10/13/2017
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