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Organization

PALMETTO PA ASSIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROXANNA LEROQUE (DIRECTOR OF CLIENT EXPERIENCE)
(210) 598-2801
Entity
Organization

Contact information

Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 353-1163
Mailing address
1141 N LOOP 1604 E #105-612, SAN ANTONIO, TX 78232
(843) 353-1163

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/12/2019
Last updated
06/10/2022
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