Individual provider · NPI-1

Jean L Abeyta, PA-C

Physician Assistant, Surgical · Bowie, MD

NPI number1336231885
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1336231885
Entity type
Individual (NPI-1)
Name
Mrs. Jean L Abeyta
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgicalc0000734MDYes

Practice location

15660 Ensleigh Ln
Bowie, MD 20716-3234

Phone 202-745-8524

Mailing address

15660 Ensleigh Ln
Bowie, MD 20716-3234

Phone 202-745-8524

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