Individual
MR. CHARLES WILLIAM-WESLEY HURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
127 S SAN VICENTE BLVD STE A3600, LOS ANGELES, CA 90048-3311
(310) 423-1153
(310) 423-6795
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 453-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53933
CA
Other
Enumeration date
10/14/2016
Last updated
07/24/2024
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