Individual
MRS. JESSICA LYNN RUNQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1675 GAR HWY, SWANSEA, MA 02777-3901
(508) 490-5959
(508) 490-5960
Mailing address
1675 GAR HWY, SWANSEA, MA 02777-3901
(508) 490-5959
(508) 490-5960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01115
RI
363A00000X
Physician Assistant
Primary
PA6233
MA
Other
Enumeration date
06/09/2017
Last updated
12/13/2019
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