Individual
EVE-MARIE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2201 SOUTH AVE, STE B, SOUTH LAKE TAHOE, CA 96150-7025
(530) 543-5623
(530) 541-5738
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 18160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609933910
—
CA
05
—
1609933910
—
NV
Enumeration date
01/03/2007
Last updated
11/07/2011
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