Jamie Kehaulani Humphries Widger, PA-C

NPI #1053185918 in La Mirada, California

Provider Information

NPI Number: 1053185918
Entity Type: Individual
Name: Jamie Kehaulani Humphries Widger, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 10, 2023
Last Updated: Jan 15, 2025

Practice Location

Address: 15625 IMPERIAL HWY
City: La Mirada
State: California
ZIP Code: 90638-1627
Phone: (562) 902-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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