MISS Jennifer Anne Ham, CST, CSFA
NPI #1710411426 in Gun Barrel City, Texas
Provider Information
- NPI Number
- 1710411426
- Entity Type
- Individual
- Name
- MISS Jennifer Anne Ham, CST, CSFA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- CST, CSFA
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Apr 19, 2017
Practice Location
- Address
- 201 SEABREEZE DR
- City
- Gun Barrel City
- State
- Texas
- ZIP Code
- 75156-5644
- Phone
- (903) 603-8386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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