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Individual
JENNA ROSE LAURIA
Active
Individual
JENNA ROSE LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019495
NY
363A00000X
Physician Assistant
085009954
IL
363A00000X
Physician Assistant
25MP00499800
NJ
363A00000X
Physician Assistant
65700
CA
Other
Enumeration date
02/10/2016
Last updated
05/18/2026
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