Jessica Lynn Wight

NPI #1194088799 in N Tonawanda, New York

Provider Information

NPI Number: 1194088799
Entity Type: Individual
Name: Jessica Lynn Wight
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 19, 2012
Last Updated: Jun 19, 2012

Practice Location

Address: 603 DIVISION ST
City: N Tonawanda
State: New York
ZIP Code: 14120-4461
Phone: (716) 692-1049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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