Individual
JONNA L. RACELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
77 HOSPITAL AVE STE 200, NORTH ADAMS, MA 01247-2538
(413) 663-6769
(413) 663-6421
Mailing address
77 HOSPITAL AVE STE 200, NORTH ADAMS, MA 01247-2538
(413) 663-6769
(413) 663-6421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000415
—
VT
Enumeration date
01/03/2006
Last updated
04/12/2022
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