Individual
JOSE F MAHIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
605 W CUMBERLAND ST, DUNN, NC 28334-4823
(910) 891-1391
Mailing address
P O BOX 960226, OKLAHOMA CITY, OK 73196-0001
(877) 485-4474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102070
NC
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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