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Individual
MISS JENNIFER ROSE MUSKA
Active
Individual
MISS JENNIFER ROSE MUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022118
NYS RPA LICENSE
NY
01
—
1145962
NCCPA
—
Enumeration date
07/24/2018
Last updated
04/20/2021
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