Individual
JESSOP BAWEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(302) 535-1267
Mailing address
1100 WILFORD HALL LOOP, SAN ANTONIO, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
01/14/2025
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