Individual
JAY VISBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1660 COLUMBIA RD NW, WASHINGTON, DC 20009-3602
(202) 469-4699
Mailing address
1660 COLUMBIA RD NW, WASHINGTON, DC 20009-3602
(202) 469-4699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001945
DC
Other
Enumeration date
09/20/2021
Last updated
09/28/2024
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