Theresa Ann Sofarelli P.A.-C

NPI 1972693505 - Physician Assistant - 363A00000X

NPI Details
NPI 1972693505
Gender Female
Enumeration Date 10/13/2006
Last Updated 12/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3300 COLLEGE AVE, RM 2209
SKYLINE COLLEGE STUDENT HEALTH CENTER
SAN BRUNO CA, 94044, US
Phone (650) 738-4270
Fax (650) 738-4488
Business Location
3300 COLLEGE AVE, RM 2209
SKYLINE COLLEGE STUDENT HEALTH CENTER
SAN BRUNO CA, 94044, US
Phone (650) 738-4270
Fax (650) 738-4488
Toxanomy
Taxonomy Code 363A00000X
License State Utah
License Number 290142-1206
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According to our database, Theresa Ann Sofarelli P.A.-C NPI is 1972693505, taxonomy code is 363A00000X and license number is 290142-1206, license state is located at Utah. Theresa Ann Sofarelli P.A.-C physically located at 3300 College Ave, Rm 2209, San Bruno CA, 94044. NPI Number Theresa Ann Sofarelli P.A.-C has the Individual type.

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1972693505 NPI number is provided on an as is basis without warranty of any kind. 1972693505 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Ann Sofarelli P.A.-C are for informational purposes only.