Individual
MS. GINNY MARIE MOYER-MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
15 S MAIN ST, SUITE 110, JAMESTOWN, NY 14701-6626
(716) 483-2320
(716) 484-2582
Mailing address
15 S MAIN ST, SUITE 110, JAMESTOWN, NY 14701-6626
(716) 483-2320
(716) 484-2582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009358
NY
363AM0700X
Medical Physician Assistant
Primary
009358-1
NY
Other
Enumeration date
06/01/2006
Last updated
03/23/2023
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