Individual
SALLY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
5213
SC
363AS0400X
Surgical Physician Assistant
Primary
5213
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
01/02/2023
Last updated
07/28/2026
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