Individual
JILL L LA POSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1912
SC
363AS0400X
Surgical Physician Assistant
Primary
1912
SC
Other
Enumeration date
10/14/2008
Last updated
07/20/2022
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