Individual
MS. CATHERINE CHANG LETHERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 E HARRISON AVE, POMONA, CA 91767
(909) 624-5061
Mailing address
733 N 1ST AVE, UPLAND, CA 91786-4716
(909) 991-2336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA14083
CALIFORNIA PAB LICENSE
CA
Enumeration date
06/16/2006
Last updated
11/19/2024
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