MISS Jessica Rae Love, PTA

NPI #1508028085 in Sterling, Illinois

Provider Information

NPI Number: 1508028085
Entity Type: Individual
Name: MISS Jessica Rae Love, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: PTA
Enumeration Date: Jun 26, 2008
Last Updated: Jun 26, 2008

Practice Location

Address: 208 E 9TH ST
Address 2: APT A
City: Sterling
State: Illinois
ZIP Code: 61081-2444
Phone: (815) 499-1269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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