Jessica Pedersen

NPI #1629793070 in Villa Grove, Illinois

Provider Information

NPI Number: 1629793070
Entity Type: Individual
Name: Jessica Pedersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 7, 2022
Last Updated: Oct 7, 2022

Practice Location

Address: 400 N SYCAMORE ST
City: Villa Grove
State: Illinois
ZIP Code: 61956-9771
Phone: (217) 832-2261

Specialties & Taxonomy Codes

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

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