JESSICA ZARAH SUGIANTO

IRVING, TX
NPI1437389277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZD0900X Pathology, Dermatopathology
(Licence: TX  Q5932)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: TX  Q5932)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-07-14
Last Update Date2018-03-21
Business Address
JESSICA ZARAH SUGIANTO MD
6655 N MACARTHUR BLVD
IRVING, TX 75039-2443
Phone number: 214-277-8700
Mailing Address
JESSICA ZARAH SUGIANTO MD
PO BOX 840294
DALLAS, TX 75284-0294
Phone number: 888-344-1160