Individual provider · Type 1 NPI
Jillo Emma Massaquoi, PA-C
Medical Physician Assistant · Washington, DC
NPI number
1649296013
Active
Practice location
110 Irving St NW
Washington, DC 20010-3017
Mailing address
PO Box 16335
Philadelphia, PA 19114-0435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA052059 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1649296013
Jillo Emma Massaquoi, PA-C's National Provider Identifier is 1649296013, issued on Jul 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Dec 2, 2020.