Cheryl Roussain, PA

NPI #1235343831 in Mcgrath, Alaska

Provider Information

NPI Number: 1235343831
Entity Type: Individual
Name: Cheryl Roussain, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10 TAKOTNA AVE
City: Mcgrath
State: Alaska
ZIP Code: 99627
Phone: (907) 524-3299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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