Individual
MARTHA ANN CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 664-2790
(209) 664-2797
Mailing address
180 VIA VERDE, STE 100, SAN DIMAS, CA 91773-3993
(626) 447-0296
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA18400
CA
363AM0700X
Medical Physician Assistant
Primary
PA60901087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18400
—
CA
Enumeration date
06/02/2006
Last updated
10/28/2019
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