Individual
VANESSA D FERRARIO
Active
Individual
VANESSA D FERRARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0368640001
DMERC
—
01
—
195690700
USDL
—
01
—
CGP159090
CGP
—
01
—
P00252712
RR MCR
—
05
—
ZZZ71793Z
—
CA
Enumeration date
05/24/2006
Last updated
03/06/2018
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