JINGLE A ANGELES PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1417131327- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 25228 LANKFORD HIGHWAY, ONLEY, VA, 23418
- Phone
- (757) 787-1465
Specialties & Taxonomies
Physician Assistant
License: NY #012333-1
Physician Assistant
License: OR #PA222682
Physician Assistant
License: HI #AMD-1026
Physician Assistant
Primary License: VA #0110010429
Physician Assistant
License: NJ #25MP00193000