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MS. SUZETTE DELAWARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-7655
(760) 773-1667
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-7655
(760) 773-1667

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA14366
CA
363AM0700X
Medical Physician Assistant
Primary
PA14366
CA

Other

Enumeration date
05/07/2007
Last updated
11/03/2020
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