Individual
MRS. SAVANNAH MARIE MUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15 ALTARINDA RD STE 100, ORINDA, CA 94563-2607
(925) 253-1199
Mailing address
179 N 700 W, PROVO, UT 84601-2650
(403) 915-3975
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA66994
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
10/07/2025
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