Individual
MRS. AMY SAGE THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5818
Mailing address
2359 PRUNE ST, PINOLE, CA 94564-1719
(805) 448-6902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20370
CA
Other
Enumeration date
07/09/2009
Last updated
10/29/2014
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