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Individual

MRS. KATIE JOFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1815 HAND AVE, BAY MINETTE, AL 36507-4110
(251) 937-5521
Mailing address
912 VAN AVE APT 626, DAPHNE, AL 36526-8615

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1063
AL
363AM0700X
Medical Physician Assistant
006470
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA.1063
PA LICENSE ALABAMA
AL
Enumeration date
06/12/2012
Last updated
03/17/2018
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