Individual provider · Type 1 NPI
Ilse Jazmin Tejeda, PA, PA-C
Medical Physician Assistant · Turlock, CA
NPI number
1245879683
Active
Practice location
415 E. Olive Ave Ste 1
Turlock, CA 95380
Fax (209) 633-6168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1245879683
Ilse Jazmin Tejeda, PA, PA-C's National Provider Identifier is 1245879683, issued on Jan 2, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Turlock, CA. The record was last updated on Mar 22, 2021.