Individual
MRS. JESSICA MARY LEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5517 N BREMONT CT, PRESCOTT VALLEY, AZ 86314-5844
(928) 899-8811
Mailing address
5517 N. BREMONT COURT, PRESCOTT, AZ 86314
(928) 899-8811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN164833
AZ
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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