Individual
MRS. DEANA MICHELLE DODD BUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41880 KALMIA ST. SUITE 100, MURRIETA, CA 92562
(951) 696-7587
(951) 461-6973
Mailing address
27483 PAPER BARK AVE, MURRIETA, CA 92562-2536
(951) 816-4268
(714) 935-0075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PZ18052
CA
Other
Enumeration date
04/03/2006
Last updated
03/19/2009
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