Individual
ASHLEY JARRIEL GUCWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
300 HEALTH PARK BLVD STE 4000, ST AUGUSTINE, FL 32086-3704
(904) 824-8666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112444
FL
Other
Enumeration date
09/17/2019
Last updated
04/28/2020
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