Individual provider · Type 1 NPI

Jennifer Jeannine Khamda

Medical Physician Assistant · Santa Rosa, CA

NPI number 1912717141 Active

Practice location

790 Sonoma Ave
Santa Rosa, CA 95404-4713

Mailing address

2403 Professional Dr
Santa Rosa, CA 95403-3007

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1912717141

Jennifer Jeannine Khamda's National Provider Identifier is 1912717141, issued on Jan 9, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 9, 2025.