Individual
JESSICA ROSE ARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 298-2505
Mailing address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 298-2505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2012-0009
NM
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
PA2012-0009
NM
Other
Enumeration date
02/21/2012
Last updated
12/13/2024
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