Jamie Lyn Staley P.A., MPA

NPI 1316091051 - Physician Assistant - 363AS0400X

NPI Details
NPI 1316091051
Gender Female
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
260 INTERNATIONAL CIR
ORTHOPAEDIC DEPARTMENT
SAN JOSE CA, 95119-1130, US
Phone (408) 363-4531
Fax
Business Location
41 GRANDVIEW ST
#107
SANTA CRUZ CA, 95060-3000, US
Phone (831) 426-2766
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State California
License Number 18352
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According to our database, Mrs. Jamie Lyn Staley P.A., MPA NPI is 1316091051, taxonomy code is 363AS0400X and license number is 18352, license state is located at California. Jamie Lyn Staley P.A., MPA physically located at 260 International Cir, San Jose CA, 95119-1130. NPI Number Jamie Lyn Staley P.A., MPA has the Individual type.

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1316091051 NPI number is provided on an as is basis without warranty of any kind. 1316091051 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie Lyn Staley P.A., MPA are for informational purposes only.