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LISA A. JAIME PA-C
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1881830859
Individual Registrant: LISA A. JAIME PA-C
Gender: F
Not Sole Proprietor
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
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
Tel: 559-583-4617 Fax: 559-583-4625
Registration Information:
NPI: 1881830859
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | CA | PA20112 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CA STATE LICIENSE NUMBER | PA20112 | CA | 01 |
