Individual
MRS. ASHLENE JANIECE KORCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2301 E FOOTHILL BLVD, SUITE 100, GLENDORA, CA 91740-4000
(626) 852-3376
Mailing address
26121 MERRILL PL, LOMA LINDA, CA 92354-4136
(503) 806-5594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22645
CA
Other
Enumeration date
10/22/2012
Last updated
06/20/2013
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