Individual
BERNADETTE MARIE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 RALEY BLVD, SUITE 140, CHICO, CA 95928-8351
(530) 342-5776
(530) 898-0178
Mailing address
111 RALEY BLVD, SUITE 140, CHICO, CA 95928-8351
(530) 342-5776
(530) 898-0178
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15067
CA
Other
Enumeration date
08/30/2010
Last updated
10/01/2012
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