TARA CARSON JERNEJCIC

FREDERICK, MD
NPI1104809342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NC  102381)
Additional Taxonomies363AM0700X Physician Assistant Medical
(Licence: NC  600122)
Enumeration Date2005-11-22
Last Update Date2015-12-10
Business Address
MRS. TARA CARSON JERNEJCIC PA-C
100 SOUTH MARKET STREET FREDERICK COMMUNITY ACTION AGENCY
FREDERICK, MD 21701
Phone number: 301-600-1506
Mailing Address
MRS. TARA CARSON JERNEJCIC PA-C
4692 BROWNSBORO ROAD
WINSTON - SALEM, NC 27106
Phone number: 336-251-1114
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