Individual
MRS. JESSICA L LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, MHA, PA-C
Contact information
Practice address
75 FRANCIS ST, CA 463, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, CA 463, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2041
MA
Other
Enumeration date
09/17/2006
Last updated
01/31/2012
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