| 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 |