Individual
MRS. JENNIFER LYNN PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 N PEPPER AVE, SURGERY DEPARTMENT, COLTON, CA 92324-1801
(909) 580-3353
Mailing address
400 N PEPPER AVE, SURGERY DEPARTMENT, COLTON, CA 92324-1801
(909) 580-3353
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19414
CA
Other
Enumeration date
10/18/2007
Last updated
12/27/2024
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