Jasmin Ann Lease, PA-C

NPI #1376792457 in Benton, Arkansas

Provider Information

NPI Number
1376792457
Entity Type
Individual
Name
Jasmin Ann Lease, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 15, 2008
Last Updated
Aug 3, 2012

Practice Location

Address
2010 ACTIVE WAY
City
Benton
ZIP Code
72019-7566
Phone
(501) 315-0984

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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