Individual
JENNIFER IMASUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-2385
(214) 947-2390
Mailing address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-2385
(214) 947-2390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021995-1
NY
363A00000X
Physician Assistant
Primary
PA13558
TX
Other
Enumeration date
04/27/2018
Last updated
10/18/2021
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