Individual
EDITH O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-7161
(530) 283-7953
Mailing address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(530) 283-7161
(530) 283-7953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12371
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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