MISS Ilse Jazmin Tejeda, PA, PA-C
NPI #1245879683 in Turlock, California
Provider Information
- NPI Number
- 1245879683
- Entity Type
- Individual
- Name
- MISS Ilse Jazmin Tejeda, PA, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA, PA-C
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 415 E. OLIVE AVE STE 1
- City
- Turlock
- State
- California
- ZIP Code
- 95380
- Phone
- (209) 633-7402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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