Individual
MS. MEAGHAN JILLIAN SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9137
(413) 452-6049
Mailing address
98 MONROE ST, AGAWAM, MA 01001-3206
(413) 348-0024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4469
MA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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