Individual
JENARO ADAM RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3714 GUARDIAN AVE, MOREHEAD CITY, NC 28557-2974
(910) 332-3800
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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