Individual
JENNIFER LAURA DEUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM 4 SOUTH, PHILADELPHIA, PA 19104-5127
(215) 349-8222
Mailing address
3400 CIVIC CENTER BLVD, PCAM 4 SOUTH, PHILADELPHIA, PA 19104-5127
(215) 349-8222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055252
PA
Other
Enumeration date
10/13/2011
Last updated
03/14/2016
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