JESSICA PROCK

PORTSMOUTH, VA
NPI1215430061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: VA  0102206832)
Additional Taxonomies208D00000X General Practice
(Licence: VA  0102206832)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-16
Last Update Date2024-06-07
Business Address
JESSICA PROCK
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-5008
Mailing Address
JESSICA PROCK
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: