Jannifer Lynn Wick PA-C

NPI 1306020961 - Physician Assistant - 363A00000X

NPI Details
NPI 1306020961
Gender Female
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
PSC 482 BOX 2645
FPO OKINA, , JP
Phone (814) 902-1122
Fax
Business Location
10851 CARAVELLE PL
SAN DIEGO CA, 92124-2048, US
Phone (858) 505-9806
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number 1080526
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According to our database, Ms. Jannifer Lynn Wick PA-C NPI is 1306020961, taxonomy code is 363A00000X and license number is 1080526, license state is located at . Jannifer Lynn Wick PA-C physically located at Psc 482 Box 2645, Fpo OKINA, . NPI Number Jannifer Lynn Wick PA-C has the Individual type.

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1306020961 NPI number is provided on an as is basis without warranty of any kind. 1306020961 is maintained by the National Plan & Provider Enumeration System. The contents of Jannifer Lynn Wick PA-C are for informational purposes only.