Individual
ANGELA-ROSE JESSIE DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 1ST ST STE A, SAN FRANCISCO, CA 94105-2661
(888) 803-3370
(888) 803-3331
Mailing address
3404 VISTA PALM DR, EDGEWATER, FL 32141-6424
(407) 405-3053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029204
NY
363A00000X
Physician Assistant
Primary
60515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009473100
—
FL
01
—
1821375643
TRICARE
FL
01
—
Y0NE4
BCBS
FL
Enumeration date
11/08/2011
Last updated
06/06/2024
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