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Individual

TAIJWANTTIE AJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12880 COMMODITY PL, CARE OF UNITED SURGICAL ASSISTANTS NA, INC., TAMPA, FL 33626-3101
(877) 872-5788
Mailing address
PO BOX 21724, CARE OF UNITED SURGICAL ASSISTANTS NA, INC., TAMPA, FL 33622-1724
(877) 872-5788

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C02974
MD
363AS0400X
Surgical Physician Assistant
PA030383
DC

Other

Enumeration date
02/02/2007
Last updated
04/22/2009
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