Individual
CORTNEY LEE SPRAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1301 20TH ST STE 440, SANTA MONICA, CA 90404-2109
(310) 208-0474
(310) 208-0374
Mailing address
34467 VIA VERDE, CAPISTRANO BEACH, CA 92624-1238
(949) 233-4763
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 20680
CA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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