Individual
ANNETTE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
SHASA MEDICAL GROUP MEDICAL DIRECTOR: MILLIADAIRE SYVER, 88 TULLY ROAD, SUITE 110, SAN JOSE, CA 95111
(408) 294-9234
(408) 564-5868
Mailing address
8066 LINARES AVENUE, RIVERSIDE, CA 92509
(510) 367-2533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13805
CA
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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