Individual
SARA WIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24060 CAMINO DEL AVION, STE A, DANA POINT, CA 92629
(562) 947-8755
Mailing address
24060 CAMINO DEL AVION, STE A, DANA POINT, CA 92629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA52816
CA
363AM0700X
Medical Physician Assistant
Primary
PA-52816
CA
Other
Enumeration date
09/25/2015
Last updated
11/08/2024
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