Individual
JESSICA BUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107554
—
OH
Enumeration date
07/28/2014
Last updated
08/20/2020
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