JESSICA RAYANN DISMANG

CROSSVILLE, IL
NPI1851170716
Former NameJESSICA RAYANN LEWIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-09-28
Last Update Date2023-09-28
Business Address
JESSICA RAYANN DISMANG
315 N ALLEN ST APT 2
CROSSVILLE, IL 62827-2284
Phone number: 618-380-1452
Mailing Address
JESSICA RAYANN DISMANG
PO BOX 205
CROSSVILLE, IL 62827-0205
Phone number: 618-380-1452