JACOB JOHN MASSARELLI

CENTRALIA, WA
NPI1699458927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA61478292)
Enumeration Date2023-08-11
Last Update Date2023-10-19
Business Address
JACOB JOHN MASSARELLI PA-C
1800 COOKS HILL RD STE F
CENTRALIA, WA 98531-9162
Phone number: 360-669-0335
Mailing Address
JACOB JOHN MASSARELLI PA-C
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
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