Jessica D Prohuska, LAC | |
3278 Main St, East Troy, WI 53120-1152 | |
(262) 642-4325 | |
Not Available |
Full Name | Jessica D Prohuska |
---|---|
Gender | Female |
Speciality | Acupuncturist |
Location | 3278 Main St, East Troy, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477116523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
171100000X | Acupuncturist | 993-55 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica D Prohuska, LAC 814 Hazel Ridge Rd Apt 305, Elkhorn, WI 53121-1251 Ph: (262) 475-9661 | Jessica D Prohuska, LAC 3278 Main St, East Troy, WI 53120-1152 Ph: (262) 642-4325 |
Mr. Brandon Lagreca, CAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 3278 Main St, East Troy, WI 53120 Phone: 262-642-4325 | |
Clairissa Vouga, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 3278 Main St, East Troy, WI 53120 Phone: 262-853-6129 |