NPI | 1578096632 |
---|---|
Professional Name | JESSEE MATTESON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN DO0000003617) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 04681) |
390200000X Student in an Organized Health Care Education/Training Program | |
207P00000X Emergency Medicine (Licence: VA 0102206958) | |
Enumeration Date | 2017-04-06 |
Last Update Date | 2021-12-07 |