Individual
MRS. JESSICA REAVIS PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
514 MCMANUS WAY, #T514, TOWSON, MD 21286-8506
(410) 227-3622
Mailing address
514 MCMANUS WAY, #T514, TOWSON, MD 21286-8506
(410) 227-3622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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