Provider Demographics
NPI:1447782503
Name:SIZER, JESSICA KALI (STUDENT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:KALI
Last Name:SIZER
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 RHINE RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3232
Mailing Address - Country:US
Mailing Address - Phone:937-901-2243
Mailing Address - Fax:
Practice Address - Street 1:217 RHINE RD
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3232
Practice Address - Country:US
Practice Address - Phone:937-901-2243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program