person
Jesse W Vos, PA
Medical Physician Assistant in Crescent City, California
NPI 1396994745

Jesse W Vos is a Medical Physician Assistant based in Crescent City, CA and is specialized in Medical. Jesse W Vos practices in Crescent City, CA and has the professional credentials of PA. The NPI Number for Jesse W Vos is 1396994745 and holds a License No. PA19884 (California).

The current practice location address for Jesse W Vos is 1575 S Railroad Ave, Crescent City, CA and can be reached out via phone at 707-464-8335 and via fax at 707-464-8339.

Location: 1575 S Railroad Ave, Crescent City, CA, 95531-6821
person
Provider Profile Details
NPI Number
1396994745
Provider Name
Jesse W Vos
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1575 S Railroad Ave, Crescent City, CA, 95531-6821
Phone Number
707-464-8335
Fax Number
707-464-8339
Provider Enumeration Date
09/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083953 01 CA NCCPA LIC NUMBER
PA19884 01 CA PA LIC NUMBER
institution
Provider Business Practice Location Address Details
Address
1575 S Railroad Ave
City
State
Zip
95531-6821
Phone Number
707-464-8335
Fax Number
707-464-8339
person
Provider Business Mailing Address Details
Address
1575 S Railroad Ave
City
State
Zip
95531-6821
Phone Number
707-464-8335
Fax Number
707-464-8339
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA19884 (California)
Definition
Definition to come...
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