Jessica A Wusterbarth, PA-C Valid NPI

Individual provider · Physician Assistant · Hermosa Beach, CA

NPI

1487742607

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA17615 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-11

Last updated

2007-07-09