NPI | 1245839521 |
---|---|
Other Name | STEPHANIE BARONG CLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114554) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363A00000X Physician Assistant (Licence: TX PA14142) | |
Enumeration Date | 2020-10-19 |
Last Update Date | 2023-06-27 |