Jessica Rose Brave Heart

NPI #1275010399 in Brookings, South Dakota

Provider Information

NPI Number: 1275010399
Entity Type: Individual
Name: Jessica Rose Brave Heart
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 21, 2018
Last Updated: Jul 21, 2018

Practice Location

Address: 1031 3RD AVE APT 4
City: Brookings
State: South Dakota
ZIP Code: 57006-1145
Phone: (605) 899-2863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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