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

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA052059 (PA)

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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.