Individual
BRONEKA KORKAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 48TH ST, SACRAMENTO, CA 95817-1541
(916) 734-2145
Mailing address
4617 VIA BREZZA, MODESTO, CA 95357-0659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA67243
CA
Other
Enumeration date
10/08/2024
Last updated
12/01/2025
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