Individual
MS. NANCY ELLEN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30201 GOLDEN LANTERN, SUITE B, LAGUNA NIGUEL, CA 92677-5979
(949) 373-1788
Mailing address
624 VIA ESPIRITU, SAN CLEMENTE, CA 92672-6002
(949) 492-7341
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14868
CA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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