| NPI | 1205238367 |
|---|---|
| Other Name | JESSICA BASTIDAS-CELLERI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085005220) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005220) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2024-04-09 |