Jessica Luster

NPI #1457872160 in Kennett, Missouri

Provider Information

NPI Number: 1457872160
Entity Type: Individual
Name: Jessica Luster
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 3, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1109 JONES ST.
City: Kennett
State: Missouri
ZIP Code: 63857
Phone: (573) 888-6545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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