Jessica Ria Babcock PA-C

NPI 1043504749 - Physician Assistant - 363A00000X

NPI Details
NPI 1043504749
Gender Female
Enumeration Date 05/31/2011
Last Updated 12/17/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
11725 STINSON AVE
CHISAGO CITY MN, 55013-9542, US
Phone (651) 257-8499
Fax
Business Location
3008 GETTYSBURG AVE N
NEW HOPE MN, 55427-2307, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number 363A00000X
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According to our database, Mrs. Jessica Ria Babcock PA-C NPI is 1043504749, taxonomy code is 363A00000X and license number is 363A00000X, license state is located at . Jessica Ria Babcock PA-C physically located at 11725 Stinson Ave, Chisago City MN, 55013-9542. NPI Number Jessica Ria Babcock PA-C has the Individual type.

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1043504749 NPI number is provided on an as is basis without warranty of any kind. 1043504749 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Ria Babcock PA-C are for informational purposes only.