Susan Mary Ahlstrom PA-C

NPI 1447447628 - Physician Assistant - 363A00000X

NPI Details
NPI 1447447628
Gender Female
Enumeration Date 10/01/2007
Last Updated 10/29/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
5192 HOSPITAL RD
MARIPOSA CA, 95338-9524, US
Phone (209) 742-6144
Fax (209) 742-5055
Business Location
PO BOX 939
ANGELS CAMP CA, 95222-0939, US
Phone (209) 754-6262
Fax (209) 736-1814
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA18694
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According to our database, Susan Mary Ahlstrom PA-C NPI is 1447447628, taxonomy code is 363A00000X and license number is PA18694, license state is located at California. Susan Mary Ahlstrom PA-C physically located at 5192 Hospital Rd, Mariposa CA, 95338-9524. NPI Number Susan Mary Ahlstrom PA-C has the Individual type.

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1447447628 NPI number is provided on an as is basis without warranty of any kind. 1447447628 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Mary Ahlstrom PA-C are for informational purposes only.