Individual
CHELSEA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 W KETTLEMAN LN STE 200, LODI, CA 95242-4337
(209) 334-8540
Mailing address
709 PRAIRIE CT, GALT, CA 95632-8731
(925) 437-1903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58096
CA
Other
Enumeration date
05/13/2020
Last updated
01/06/2023
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