Individual
JEAN B PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5924 ITHACA CIR W, LAKE WORTH, FL 33463-1518
(561) 255-2227
Mailing address
5924 ITHACA CIR W, LAKE WORTH, FL 33463-1518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
265-P.A
PR
363A00000X
Physician Assistant
Primary
8416
AZ
Other
Enumeration date
07/15/2019
Last updated
02/06/2023
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