Individual
JESSEL REUEN COOMANSINGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13730 W CAMELBACK RD, LITCHFIELD PARK, AZ 85340-3075
(623) 334-7745
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5336
AZ
363AM0700X
Medical Physician Assistant
Primary
5336
AZ
Other
Enumeration date
07/24/2012
Last updated
06/27/2025
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