Individual
MRS. DESIREE ANN PASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3257 PONTIAC AVE, RIVERSIDE, CA 92509-4430
(951) 345-2142
Mailing address
3257 PONTIAC AVE, RIVERSIDE, CA 92509-4430
(951) 345-2142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA52968
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/18/2015
Last updated
12/15/2016
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