Quyen T Despas PA-C

NPI 1154454908 - Physician Assistant - 363A00000X

NPI Details
NPI 1154454908
Gender Female
Enumeration Date 03/13/2007
Last Updated 05/13/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
14575 MAIN ST
HESPERIA CA, 92345-3322, US
Phone (760) 947-0727
Fax (760) 947-6219
Business Location
14575 MAIN ST
HESPERIA CA, 92345-3322, US
Phone (760) 947-0727
Fax (760) 947-6219
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA18627
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According to our database, Quyen T Despas PA-C NPI is 1154454908, taxonomy code is 363A00000X and license number is PA18627, license state is located at California. Quyen T Despas PA-C physically located at 14575 Main St, Hesperia CA, 92345-3322. NPI Number Quyen T Despas PA-C has the Individual type.

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1154454908 NPI number is provided on an as is basis without warranty of any kind. 1154454908 is maintained by the National Plan & Provider Enumeration System. The contents of Quyen T Despas PA-C are for informational purposes only.