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LISA A. JAIME PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1881830859

Individual Registrant:
 LISA A. JAIME PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
40657 ROAD 128  CUTLER, CA 93615-2003 US
Tel: 559-528-3860  Fax: 559-528-6798

Contact information for business:
1479 W LACEY BLVD  HANFORD, CA 93230-5906 US
Tel: 559-583-4617  Fax: 559-583-4625

Registration Information:
NPI: 1881830859
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
CAPA20112

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CA STATE LICIENSE NUMBERPA20112CA01




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