JENNIFER CASTELLUCCIO, PAC
Physician Assistant
Active
Individual
NPI: 1679561435
Practice Address
26458 MAPLE VALLEY BLACK DIAMOND RD SEMaple Valley, WA 98038
Phone: (425) 690-3460
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | OA10000132 (WA) |
| Physician Assistant | 363A00000X | Yes | OA10000132 (WA) |
Frequently Asked Questions
NPI 1679561435 is the National Provider Identifier for JENNIFER CASTELLUCCIO, PAC, a Physician Assistant provider located in Maple Valley, WA. This NPI was enumerated on October 6, 2005.
JENNIFER CASTELLUCCIO, PAC practices at 26458 MAPLE VALLEY BLACK DIAMOND RD SE, Maple Valley, WA 98038.
Quick Facts
- NPI
- 1679561435
- Type
- Individual
- Enumerated
- Oct 6, 2005
- Last Updated
- Aug 17, 2021
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