Individual
MR. JONATHAN LOUIS PANARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 AMERICAN PACIFIC DR, APT. 2621, HENDERSON, NV 89074-8790
(617) 840-7549
Mailing address
1000 AMERICAN PACIFIC DR, APT. 2621, HENDERSON, NV 89074-8790
(617) 840-7549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1334
NV
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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