Individual
MS. ABIGAIL MARK-EKPENDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4150 PATTERSON ROAD, RIVERBANK, CA 95367
(209) 863-3900
(209) 863-3999
Mailing address
1218 PRASHER AVENUE, STOCKTON, CA 95209
(209) 330-1034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52004
CA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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