Individual
ANNIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4165 BLACKHAWK PLAZA CIR, STE 100, DANVILLE, CA 94506-4691
(925) 736-7070
(925) 736-7075
Mailing address
4165 BLACKHAWK PLAZA CIR, STE 100, DANVILLE, CA 94506-4691
(925) 736-7070
(925) 736-7075
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA58037
CA
Other
Enumeration date
02/17/2020
Last updated
02/07/2025
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