Individual
JOCELYN FAITH MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23400 US HIGHWAY 160, WALSENBURG, CO 81089-8100
(719) 738-4590
Mailing address
23400 US HIGHWAY 160, WALSENBURG, CO 81089-8100
(719) 738-4590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007492
CO
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
09/11/2018
Last updated
11/27/2023
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