| NPI | 1730119967 |
|---|---|
| Former Name | JOLENE R CAREY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2180) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA03332) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-02-09 |