MR. Javier Licon, PA-C

NPI #1477735017 in Arden, North Carolina

Provider Information

NPI Number
1477735017
Entity Type
Individual
Name
MR. Javier Licon, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Dec 5, 2007
Last Updated
Feb 9, 2022

Practice Location

Address
2695 HENDERSONVILLE RD
Address 2
SUITE 204
City
Arden
ZIP Code
28704-8576
Phone
(828) 687-8647

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant

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