LACEE JESSUP
Contractor
Active
Individual
NPI: 1336635507
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | 071720733 (GA) |
Frequently Asked Questions
NPI 1336635507 is the National Provider Identifier for LACEE JESSUP, a Contractor provider located in Ray City, GA. This NPI was enumerated on July 10, 2018.
LACEE JESSUP practices at 215 ZEIGLER RD, Ray City, GA 31645.
Quick Facts
- NPI
- 1336635507
- Type
- Individual
- Enumerated
- Jul 10, 2018
- Last Updated
- Jul 10, 2018
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