Irma Favela-slater PAC

NPI 1154348076 - Physician Assistant - 363A00000X

NPI Details
NPI 1154348076
Gender Female
Enumeration Date 07/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2524 H DELA ROSA SR ST
SOLEDAD CA, 93960-3383, US
Phone (831) 678-8899
Fax (831) 678-4545
Business Location
2524 H DELA ROSA SR ST
SOLEDAD CA, 93960-3383, US
Phone (831) 678-8899
Fax (831) 678-4545
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA11634
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According to our database, Irma Favela-slater PAC NPI is 1154348076, taxonomy code is 363A00000X and license number is PA11634, license state is located at California. Irma Favela-slater PAC physically located at 2524 H Dela Rosa Sr St, Soledad CA, 93960-3383. NPI Number Irma Favela-slater PAC has the Individual type.

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1154348076 NPI number is provided on an as is basis without warranty of any kind. 1154348076 is maintained by the National Plan & Provider Enumeration System. The contents of Irma Favela-slater PAC are for informational purposes only.