Individual
JESSICA DYAN FRIESZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3531 STARDUST DR, HANNIBAL, MO 63401-6224
(573) 603-1460
(573) 603-1462
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 946-1008
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043125358
IL
164W00000X
Licensed Practical Nurse
Primary
2012032038
MO
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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