Individual
JESSICA YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SEAVERNS AVE, BOSTON, MA 02130-2874
(917) 392-2499
Mailing address
17 SEAVERNS AVE APT 2R, BOSTON, MA 02130-2874
(917) 392-2499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2021
Last updated
09/13/2022
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