Individual
MISS JENNIFER ANNE HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
201 SEABREEZE DR, GUN BARREL CITY, TX 75156-5644
(903) 603-8386
Mailing address
201 SEABREEZE DR, GUN BARREL CITY, TX 75156-5644
(903) 603-8386
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
170804
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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