Individual
JESSICA MARIE LIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10203 HIGH PEAK DR, GREENVILLE, SC 29609-1257
(631) 905-8655
Mailing address
10203 HIGH PEAK DR, GREENVILLE, SC 29609-1257
(631) 905-8655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.4265
SC
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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