Individual
MICHELLE SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2626 N CALIFORNIA ST STE B, STOCKTON, CA 95204-5500
(209) 466-2626
Mailing address
2626 N CALIFORNIA ST STE B, STOCKTON, CA 95204-5500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA62728
CA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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