Individual
JESSICA MARIA MARINCESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N HALLECK ST, DEMOTTE, IN 46310-9419
(219) 987-3301
Mailing address
310 N HALLECK ST, DEMOTTE, IN 46310-9419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029770A
IN
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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