Quincy C Andrus P.A.

NPI 1972876027 - Physician Assistant - 363A00000X

NPI Details
NPI 1972876027
Gender Female
Enumeration Date 02/21/2012
Last Updated 02/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
5685 MAIN ST
KELSEYVILLE CA, 95451-8945, US
Phone (707) 279-8733
Fax (707) 279-8731
Business Location
5685 MAIN ST
KELSEYVILLE CA, 95451-8945, US
Phone (707) 279-8733
Fax (707) 279-8731
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA11394
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According to our database, Quincy C Andrus P.A. NPI is 1972876027, taxonomy code is 363A00000X and license number is PA11394, license state is located at California. Quincy C Andrus P.A. physically located at 5685 Main St, Kelseyville CA, 95451-8945. NPI Number Quincy C Andrus P.A. has the Individual type.

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1972876027 NPI number is provided on an as is basis without warranty of any kind. 1972876027 is maintained by the National Plan & Provider Enumeration System. The contents of Quincy C Andrus P.A. are for informational purposes only.