Individual
JENNIFER YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
152 JONATHAN DR, NORTH WALES, PA 19454-1451
(215) 361-1876
Mailing address
152 JONATHAN DR, NORTH WALES, PA 19454-1451
(215) 361-1876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1144393
PA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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