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Individual

JENNIFER A ARRIETA

Active
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Individual

JENNIFER A ARRIETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004725
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
437748057B
GA
05
437748057C
GA
05
437748057E
GA
05
437748057F
GA
05
437748057G
GA
Enumeration date
03/16/2006
Last updated
07/21/2022
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