Individual
MRS. JENNIFER LYNNE SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10461 QUALITY DR, SPRING HILL, FL 34609-9634
(352) 688-3002
Mailing address
4904 DOGWOOD ST, NEW PORT RICHEY, FL 34653-5147
(727) 488-7102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104807
FL
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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