Search › Massachusetts › 363A00000X
Jessica Runquist, PA-C
NPI 1124557376 · on the registry since 2017
Practice
- Address
- 1675 Gar Hwy
Swansea, MA 02777 - Phone
- (508) 490-5959
- Fax
- (508) 490-5960
- Organisation at this address
- Skinpros International Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1287 N Main St, Providence, RI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MA, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts