Individual
MRS. ROXANA REYNAFARJE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA-C
Contact information
Practice address
23823 EL TORO RD STE E122, LAKE FOREST, CA 92630-4743
(949) 380-1227
(949) 380-1759
Mailing address
23823 EL TORO RD STE E122, LAKE FOREST, CA 92630-4743
(949) 380-1227
(949) 380-1759
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16702
CA
Other
Enumeration date
06/11/2009
Last updated
10/26/2021
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