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Individual

MRS. GALENE Y MEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5827 PINE AVE, SUITE A, CHINO HILLS, CA 91709-6534
(909) 613-0016
(909) 613-0026
Mailing address
5827 PINE AVE, STE A, CHINO HILLS, CA 91709-6534
(909) 613-0016
(909) 613-0026

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18739
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA18739
PHYSICIAN ASSISTANT
CA
Enumeration date
05/16/2007
Last updated
11/09/2016
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