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Individual

BARAKA JEANCY TCHATENDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2178
(352) 265-0761
Mailing address
PO BOX 100286, GAINESVILLE, FL 32610-0286

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114822
FL
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
05/25/2021
Last updated
06/09/2023
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