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Individual

JENNIFER MARIE QUINONES-PANIAGUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
807 N CAGE BLVD, PHARR, TX 78577-3117
(956) 283-1889
(956) 283-7014
Mailing address
807 N CAGE BLVD, PHARR, TX 78577-3117
(956) 283-1889
(956) 283-7014

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03582
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA03582
PHY ASST. LIC NO.
TX
Enumeration date
08/07/2007
Last updated
01/18/2010
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