Susanita Carvajal

Physician assistant

Longmeadow, United States

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Full name

Susanita Carvajal

Job Title

Physician Assistant

Location

Longmeadow, MA, USA

LIC ID

18874

Current License Expiration Date

31/01/2024

Original Date

25/08/2021

Professional Rank Code

Effective Date

25/08/2021

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

144 Warren Ter

Practice Location Address City

LONGMEADOW

Practice Location Address State

Practice Location Address Zipcode

01106

Prescribing Indicator

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Susanita Carvajal

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