Individual
GERALDINE MERCEDES DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-8747
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-8747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19831
CA
Other
Enumeration date
07/29/2008
Last updated
02/13/2015
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