Individual
MICHELE DERNAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2702 LOW CT, FAIRFIELD, CA 94534-9771
(707) 432-2625
(707) 432-2622
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11797
CA
Other
Enumeration date
05/24/2011
Last updated
07/27/2015
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