NPI | 1205264926 |
---|---|
Former Name | JANEL MOJICA TEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08592) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 23219) |
Enumeration Date | 2013-10-15 |
Last Update Date | 2025-09-19 |