Individual
ALLESA RACHELLE BUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12401 WASHINGTON BLVD STE 400, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
IEMG, 12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
02/19/2018
Last updated
08/20/2020
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