Provider Demographics
NPI:1649526989
Name:DECENA, BIEN JIMENEZ JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:BIEN
Middle Name:JIMENEZ
Last Name:DECENA
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:ROOM 97 EEOB
Mailing Address - Street 2:WHITE HOUSE MEDICAL UNIT
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20502
Mailing Address - Country:US
Mailing Address - Phone:202-757-2476
Mailing Address - Fax:202-757-2472
Practice Address - Street 1:ROOM 97 EEOB
Practice Address - Street 2:WHITE HOUSE MEDICAL UNIT
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20502
Practice Address - Country:US
Practice Address - Phone:202-757-2476
Practice Address - Fax:202-757-2472
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2017-02-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant