Jessica Linae Pezzopane

NPI #1225582794 in Garden City, Michigan

Provider Information

NPI Number: 1225582794
Entity Type: Individual
Name: Jessica Linae Pezzopane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 12, 2016
Last Updated: Aug 12, 2016

Practice Location

Address: 5643 GILMAN ST
City: Garden City
State: Michigan
ZIP Code: 48135-2906
Phone: (734) 716-5953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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