JESSICA LYNN KATA

GROSSE POINTE WOODS, MI
NPI1255895355
Former NameJESSICA LYNN ROGERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: MI  4704256354)
Enumeration Date2019-01-23
Last Update Date2021-09-30
Business Address
JESSICA LYNN KATA CPNP-AC
19229 MACK AVE STE 28
GROSSE POINTE WOODS, MI 48236-2857
Phone number: 313-647-3200
Mailing Address
JESSICA LYNN KATA CPNP-AC
28235 DELTON ST
MADISON HEIGHTS, MI 48071-2822
Phone number:
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