Individual
JESCICA DAMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 LAKE ST, HOLLAND, MI 49424-2213
(616) 648-5951
Mailing address
20 LAKE ST, HOLLAND, MI 49424-2213
(616) 648-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
10/20/2022
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