MS. Makynzie Noel Bass, PA-C

NPI #1821620816 in Graceville, Florida

Provider Information

NPI Number: 1821620816
Entity Type: Individual
Name: MS. Makynzie Noel Bass, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 7, 2020
Last Updated: Sep 18, 2024

Practice Location

Address: 5429 COLLEGE DR
City: Graceville
State: Florida
ZIP Code: 32440-1858
Phone: (850) 263-0639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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