Geraldine M Dutra P.A.

NPI 1396917043 - Physician Assistant - 363AS0400X

NPI Details
NPI 1396917043
Gender Female
Enumeration Date 04/01/2008
Last Updated 02/14/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
632 W GIBSON RD
WOODLAND CA, 95695-5169, US
Phone (530) 668-2600
Fax
Business Location
632 W GIBSON RD
WOODLAND CA, 95695-5169, US
Phone (530) 668-2600
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State California
License Number PA14146
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According to our database, Geraldine M Dutra P.A. NPI is 1396917043, taxonomy code is 363AS0400X and license number is PA14146, license state is located at California. Geraldine M Dutra P.A. physically located at 632 W Gibson Rd, Woodland CA, 95695-5169. NPI Number Geraldine M Dutra P.A. has the Individual type.

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1396917043 NPI number is provided on an as is basis without warranty of any kind. 1396917043 is maintained by the National Plan & Provider Enumeration System. The contents of Geraldine M Dutra P.A. are for informational purposes only.