Jacob John Massarelli, PA-C
NPI #1699458927 in Centralia, Washington
Provider Information
- NPI Number
- 1699458927
- Entity Type
- Individual
- Name
- Jacob John Massarelli, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 11, 2023
- Last Updated
- Oct 19, 2023
Practice Location
- Address
- 1800 COOKS HILL RD STE F
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9162
- Phone
- (360) 669-0335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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