Jessica L Root PA-C

NPI 1063776359 - Family Medicine - 207Q00000X

NPI Details
NPI 1063776359
Gender Female
Enumeration Date 07/02/2012
Last Updated 07/02/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
300 E MAIN ST
HUMMELSTOWN PA, 17036-1725, US
Phone (717) 566-1100
Fax (717) 566-0600
Business Location
300 E MAIN ST
HUMMELSTOWN PA, 17036-1725, US
Phone (717) 566-1100
Fax (717) 566-0600
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MA055588
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According to our database, Ms. Jessica L Root PA-C NPI is 1063776359, taxonomy code is 207Q00000X and license number is MA055588, license state is located at Pennsylvania. Jessica L Root PA-C physically located at 300 E Main St, Hummelstown PA, 17036-1725. NPI Number Jessica L Root PA-C has the Individual type.

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1063776359 NPI number is provided on an as is basis without warranty of any kind. 1063776359 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica L Root PA-C are for informational purposes only.