Kathryn Elaine Surette PAC

NPI 1164475802 - Physician Assistant - 363A00000X

NPI Details
NPI 1164475802
Gender Female
Enumeration Date 05/17/2006
Last Updated 03/13/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1030 PRESIDENT AVE
FALL RIVER MA, 02720-5923, US
Phone (508) 676-3411
Fax (508) 235-6405
Business Location
24 HOWARD ST
SOUTH EASTON MA, 02375-1411, US
Phone (508) 230-7967
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number PA 628
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According to our database, Mrs. Kathryn Elaine Surette PAC NPI is 1164475802, taxonomy code is 363A00000X and license number is PA 628, license state is located at Massachusetts. Kathryn Elaine Surette PAC physically located at 1030 President Ave, Fall River MA, 02720-5923. NPI Number Kathryn Elaine Surette PAC has the Individual type.

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1164475802 NPI number is provided on an as is basis without warranty of any kind. 1164475802 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn Elaine Surette PAC are for informational purposes only.