Individual
JENNIFER BORDENCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Mailing address
63 LAKE ST, HUDSON, MA 01749-1625
(860) 710-3357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4965
MA
Other
Enumeration date
03/17/2014
Last updated
04/23/2015
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