Most Relevant Information
Provider Data
| NPI Number: | 1003201427 |
| Provider Name: | JESSICA MAE RASMUSSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2015 |
| Last Updated: | 07/21/2020 |
Provider Practice Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Practice Location Phone/Fax
| Phone: | 6087827300 |
| Fax: |
Provider Mailing Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Provider Mailing Phone/Fax
| Phone: | 6087827300 |
| Fax: |