Jessica Brianne Dettman, PA

NPI #1306331814 in Gonzales, Louisiana

Provider Information

NPI Number
1306331814
Entity Type
Individual
Name
Jessica Brianne Dettman, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 27, 2018
Last Updated
Feb 21, 2020

Practice Location

Address
1023 W HIGHWAY 30
ZIP Code
70737-5002
Phone
(225) 743-2366

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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