Individual
JONA TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MMSC, PA-C, AAHIVS
Contact information
Practice address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-7000
Mailing address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-7000
(202) 332-1049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1162830
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162830
NCCPA ID
—
Enumeration date
12/30/2020
Last updated
06/04/2024
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