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Individual
MRS. CHRISTINA MICHELLE JANDER
Active
Individual
MRS. CHRISTINA MICHELLE JANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60178763
WA
363AS0400X
Surgical Physician Assistant
PA60178763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289787
LNI POA
WA
01
—
270410
L & I NWSS
WA
01
—
G8895131
MEDICARE PTAN NWSS
—
01
—
G8906345
MEDICARE PTAN POA
WA
01
—
P01037373
MEDICARE RR POA
WA
Enumeration date
09/27/2010
Last updated
06/12/2017
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