Individual
JESSICA TOMITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 W EXCHANGE ST, FREEPORT, IL 61032-4008
(815) 599-7800
Mailing address
PO BOX 813, FREEPORT, IL 61032-0813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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