Jennifer C Gamache PA-C

NPI 1366563850 - Physician Assistant - 363A00000X

NPI Details
NPI 1366563850
Gender Female
Enumeration Date 04/02/2007
Last Updated 01/31/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
10831 FOREST PINES DR
SUITE 104
RALEIGH NC, 27614-8077, US
Phone (919) 488-8066
Fax
Business Location
945 CORAL BELL DR
WAKE FOREST NC, 27587-4396, US
Phone (919) 270-3299
Fax
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 103975
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According to our database, Mrs. Jennifer C Gamache PA-C NPI is 1366563850, taxonomy code is 363A00000X and license number is 103975, license state is located at North Carolina. Jennifer C Gamache PA-C physically located at 10831 Forest Pines Dr, Raleigh NC, 27614-8077. NPI Number Jennifer C Gamache PA-C has the Individual type.

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1366563850 NPI number is provided on an as is basis without warranty of any kind. 1366563850 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer C Gamache PA-C are for informational purposes only.