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Individual
MS. JACKAI ALEXIS SIOBHAN YIP
Active
Individual
MS. JACKAI ALEXIS SIOBHAN YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20996
CA
363A00000X
Physician Assistant
PA154862
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500639156
—
OR
Enumeration date
08/09/2010
Last updated
03/17/2018
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