NPI | 1366049439 |
---|---|
Former Name | JESSICA LYNN TEDESCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN360816) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.360816) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2021-02-22 |