MR. JAVIER LICON, PA-C
Physician Assistant
Active
Individual
NPI: 1477735017
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 0010-01122 (NC) |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1477735017 is the National Provider Identifier for MR. JAVIER LICON, PA-C, a Physician Assistant provider located in Arden, NC. This NPI was enumerated on December 5, 2007.
MR. JAVIER LICON, PA-C practices at 2695 HENDERSONVILLE RD, SUITE 204, Arden, NC 28704.
Quick Facts
- NPI
- 1477735017
- Type
- Individual
- Enumerated
- Dec 5, 2007
- Last Updated
- Feb 9, 2022
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