Individual
MRS. CORINNE HOUSTON CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2330 W COVELL BLVD, DAVIS, CA 95616-5658
(530) 756-2364
Mailing address
3307 HAYGROUND WAY, SACRAMENTO, CA 95835-2461
(530) 867-6613
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22390
CA
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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