MS. Jessica A Wusterbarth, PA-C

NPI #1487742607 in Hermosa Beach, California

Provider Information

NPI Number: 1487742607
Entity Type: Individual
Name: MS. Jessica A Wusterbarth, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 11, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 100 22ND ST
Address 2: 10
City: Hermosa Beach
State: California
ZIP Code: 90254-2523
Phone: (310) 707-3471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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