Individual
JEAN JESSICA GAMBOA SADORNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2935
(803) 751-0557
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2935
(803) 751-0557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/29/2025
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