Jessica Marie Destefano
NPI #1730796442 in Cicero, New York
Provider Information
- NPI Number
- 1730796442
- Entity Type
- Individual
- Name
- Jessica Marie Destefano
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 26, 2020
- Last Updated
- Nov 27, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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