Individual
MRS. GENISE MARIE SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
731 EL CERRITO PLZ, EL CERRITO, CA 94530-4022
(510) 559-7975
Mailing address
30 DEUCE CT, FAIRFAX, CA 94930-1308
(415) 456-2746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14833
CA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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