Individual
COREY TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
817 COFFEE RD STE B, MODESTO, CA 95355-4241
(209) 222-6061
Mailing address
1641 N RIPON RD APT 507, RIPON, CA 95366-9818
(248) 639-1373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55317
CA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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