Individual
EDNA ANN DEAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
552 SESPE AVE, FILLMORE, CA 93015-1957
(805) 524-2000
Mailing address
407 SIERRA VISTA AVE, FILLMORE, CA 93015-1669
(805) 524-7070
(805) 524-1847
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 11401
CA
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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