Stephanie Annette Prater PA-C

NPI 1457508103 - Physician Assistant - 363A00000X

NPI Details
NPI 1457508103
Gender Female
Enumeration Date 08/25/2008
Last Updated 03/01/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
6555 COYLE AVE
CARMICHAEL CA, 95608-0302, US
Phone (916) 536-3540
Fax
Business Location
6555 COYLE AVE
CARMICHAEL CA, 95608-0302, US
Phone (916) 536-3540
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA19854
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According to our database, Stephanie Annette Prater PA-C NPI is 1457508103, taxonomy code is 363A00000X and license number is PA19854, license state is located at California. Stephanie Annette Prater PA-C physically located at 6555 Coyle Ave, Carmichael CA, 95608-0302. NPI Number Stephanie Annette Prater PA-C has the Individual type.

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1457508103 NPI number is provided on an as is basis without warranty of any kind. 1457508103 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Annette Prater PA-C are for informational purposes only.