Individual
JEANNE GABRIELLE GO BANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3044 OLD DENTON RD STE 138, CARROLLTON, TX 75007-5099
(972) 245-0007
Mailing address
12377 MERIT DR STE 300, DALLAS, TX 75251-3126
(972) 957-3000
(972) 957-3005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12681
TX
Other
Enumeration date
04/17/2019
Last updated
07/29/2022
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