Individual
MRS. JAMISON ANDREA WAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1855 POWDER MILL RD, YORK, PA 17402
(717) 848-4800
(717) 741-9867
Mailing address
1861 POWDER MILL ROAD, ATTN MEDICAL STAFF OFFICE, YORK, PA 17402-4723
(717) 718-2041
(717) 741-9867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA056467
PA
363AM0700X
Medical Physician Assistant
MA056467
PA
363AS0400X
Surgical Physician Assistant
Primary
MA056467
PA
Other
Enumeration date
09/25/2013
Last updated
03/30/2022
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