Individual
MRS. CHARLENE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-4333
(626) 919-8503
Mailing address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52627
CA
Other
Enumeration date
07/04/2015
Last updated
09/04/2015
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