Individual
MRS. ANNAMAE MINARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6848 MAGNOLIA AVE, #250, RIVERSIDE, CA 92506-2857
(951) 682-1622
(951) 682-1268
Mailing address
3619 HANCOCK DR, RIVERSIDE, CA 92503-5015
(951) 688-1171
(951) 688-1196
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16007
CA
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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