Individual
MS. JESSICA LEE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
5811 ARMY PENTAGON # 8, WASHINGTON, DC 20310-0001
(716) 951-9449
Mailing address
5811 ARMY PENTAGON # 8, WASHINGTON, DC 20310-0001
(716) 951-9449
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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