| NPI | 1003988759 |
|---|---|
| Professional Name | JESSICA SAKHONE BOUASANGOUANE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A80156) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD17221) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-09-25 |