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NPI Code Detail

MEDICARE: ALICIA G JESME

MEDICARE: ALICIA G JESME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist25133ND

General Provider Information

NPI Number : 1487581625
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA G JESME
Provider Business Mailing Address
First Line : 2014 HARMON AVE
Second Line :
City : BISMARCK
State : ND
Zip : 58501-2963
Country : US
Telephone Number : 701-527-5146
Fax Number :
Provider Business Practice Location Address
First Line : 1033 BASIN AVE
Second Line :
City : BISMARCK
State : ND
Zip : 58504-6649
Country : US
Telephone Number : 701-425-4594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ ALICIA G JESME ” Practice Location

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