Individual
COREY JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., B.A.
Contact information
Practice address
4773 CAUGHLIN PKWY, STE. 2, RENO, NV 89519-1011
(775) 677-2216
Mailing address
4773 CAUGHLIN PKWY, STE. 2, RENO, NV 89519-1011
(775) 677-2216
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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