JESSICA D WISSENBACH

PROVO, UT
NPI1114676004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  13516654-1204)
Enumeration Date2022-03-20
Last Update Date2024-08-01
Business Address
JESSICA D WISSENBACH DO
395 W COUGAR BLVD STE 205
PROVO, UT 84604-3328
Phone number: 801-357-1770
Mailing Address
JESSICA D WISSENBACH DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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