Individual
COSETTE AUDIRAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
400 E OAK AVE, VISALIA, CA 93291-5034
(877) 960-3426
Mailing address
2421 ENCINAL AVE A, ALAMEDA, CA 94501-5670
(510) 995-8200
(510) 995-8052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA23102
CA
Other
Enumeration date
07/23/2013
Last updated
09/23/2015
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