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Individual

MS. JENNA LYNN MAFFEY

Active
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Individual

MS. JENNA LYNN MAFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.M.S; PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60112494
WA
363AM0700X
Medical Physician Assistant
Primary
PA-929
ID

Other

Enumeration date
10/07/2009
Last updated
01/21/2014
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