Individual
JESSICA MAHASSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
1514 HIGH SCHOOL DR, SAINT LOUIS, MO 63144-1131
(618) 803-8005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147092
MO
Other
Enumeration date
06/12/2023
Last updated
06/17/2023
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