Individual
MRS. ERICA ELAINE KOFOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231
(209) 953-6200
Mailing address
302 SELBY LN, LIVERMORE, CA 94551-6366
(707) 688-4905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA54437
CA
Other
Enumeration date
05/23/2017
Last updated
07/16/2018
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