Individual
MRS. JESSICA LYNN MATANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4207
(610) 272-1881
Mailing address
25 WASHINGTON LN APT 729, WYNCOTE, PA 19095-1422
(913) 961-8670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA056228
PA
363A00000X
Physician Assistant
Primary
OA003485
PA
Other
Enumeration date
07/18/2013
Last updated
11/17/2020
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