Individual
JESSICA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 MAIN ST STE G6, WINCHESTER, MA 01890-1992
(781) 729-4878
Mailing address
955 MAIN ST STE G6, WINCHESTER, MA 01890-1992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100311
MA
Other
Enumeration date
01/05/2023
Last updated
05/15/2024
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