Jessica L Carlson
NPI #1205422011 in Coal Valley, Illinois
Provider Information
- NPI Number
- 1205422011
- Entity Type
- Individual
- Name
- Jessica L Carlson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Dec 15, 2020
- Last Updated
- Dec 15, 2020
Practice Location
- Address
- 112 W 9TH ST
- City
- Coal Valley
- State
- Illinois
- ZIP Code
- 61240-9120
- Phone
- (309) 644-2870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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