Individual
MRS. JENNIFER C GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10831 FOREST PINES DR, SUITE 104, RALEIGH, NC 27614-8077
(919) 488-8066
Mailing address
945 CORAL BELL DR, WAKE FOREST, NC 27587-4396
(919) 270-3299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103975
NC
Other
Enumeration date
04/02/2007
Last updated
01/31/2008
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