Delina Fajardo

Physician assistant

Lake Placid, United States

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Full name

Delina Fajardo

Job Title

Physician Assistant

Location

Lake Placid, NY, USA

LIC ID

19124

Current License Expiration Date

31/01/2026

Original Date

24/11/2021

Professional Rank Code

Effective Date

24/11/2021

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

60 Grandview Ave.

Practice Location Address City

LAKE PLACID

Practice Location Address State

Practice Location Address Zipcode

12946

Prescribing Indicator

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