Karen Genco PA

NPI 1770894420 - Physician Assistant - 363A00000X

NPI Details
NPI 1770894420
Gender Female
Enumeration Date 06/28/2010
Last Updated 06/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4646 BROCKTON AVE
STE 203
RIVERSIDE CA, 92506-0102, US
Phone (951) 774-2870
Fax (951) 774-2874
Business Location
4646 BROCKTON AVE
STE 203
RIVERSIDE CA, 92506-0102, US
Phone (951) 774-2870
Fax (951) 774-2874
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA16059
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According to our database, Karen Genco PA NPI is 1770894420, taxonomy code is 363A00000X and license number is PA16059, license state is located at California. Karen Genco PA physically located at 4646 Brockton Ave, Riverside CA, 92506-0102. NPI Number Karen Genco PA has the Individual type.

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1770894420 NPI number is provided on an as is basis without warranty of any kind. 1770894420 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Genco PA are for informational purposes only.