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Individual

MRS. DENISE AMY WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
700 GARDEN VIEW CT STE 100, ENCINITAS, CA 92024-2478
(760) 633-1000
(760) 753-8657
Mailing address
6399 SAN IGNACIO AVE STE 120, SAN JOSE, CA 95119-1215
(913) 424-4984

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1500805
KS
363A00000X
Physician Assistant
Primary
60061
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100402570A
KS
Enumeration date
08/20/2006
Last updated
09/20/2021
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