Individual
MARIE JOSEPHINE CASERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
13440 IMPERIAL HWY, SANTA FE SPRINGS, CA 90670-4820
(562) 926-3440
(562) 926-0678
Mailing address
1360 PARK NEWPORT, NEWPORT BEACH, CA 92660-5035
(949) 640-2693
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11896
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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