Julia Alisse Brenta PA-C

NPI 1013293976 - Physician Assistant - 363A00000X

NPI Details
NPI 1013293976
Gender Female
Enumeration Date 10/24/2011
Last Updated 10/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
35 KARL AVE
SAN ANSELMO CA, 94960-1715, US
Phone (415) 290-1191
Fax
Business Location
35 KARL AVE
SAN ANSELMO CA, 94960-1715, US
Phone (415) 290-1191
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA21879
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According to our database, Ms. Julia Alisse Brenta PA-C NPI is 1013293976, taxonomy code is 363A00000X and license number is PA21879, license state is located at California. Julia Alisse Brenta PA-C physically located at 35 Karl Ave, San Anselmo CA, 94960-1715. NPI Number Julia Alisse Brenta PA-C has the Individual type.

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1013293976 NPI number is provided on an as is basis without warranty of any kind. 1013293976 is maintained by the National Plan & Provider Enumeration System. The contents of Julia Alisse Brenta PA-C are for informational purposes only.