MRS. Jessica Ria Babcock, PA-C

NPI #1043504749 in Chisago City, Minnesota

Provider Information

NPI Number: 1043504749
Entity Type: Individual
Name: MRS. Jessica Ria Babcock, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 31, 2011
Last Updated: Dec 17, 2012

Practice Location

Address: 11725 STINSON AVE
City: Chisago City
State: Minnesota
ZIP Code: 55013-9542
Phone: (651) 257-8499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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