Jacob Ray Winchester, PA STUDENT

NPI #1063282440 in Vandenberg Afb, California

Provider Information

NPI Number: 1063282440
Entity Type: Individual
Name: Jacob Ray Winchester, PA STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA STUDENT
Enumeration Date: Jan 5, 2024
Last Updated: Apr 2, 2025

Practice Location

Address: 338 S DAKOTA AVE
City: Vandenberg Afb
State: California
ZIP Code: 93437-6307
Phone: (805) 605-1985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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