Individual
MRS. CASEY GRACE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1145 STURGIS RD., TWENTYNINE PALMS, CA 92278
(760) 830-2190
Mailing address
767 I AVE, CORONADO, CA 92118
(609) 970-6351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56500
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/03/2019
Last updated
02/23/2022
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