Individual
SARAH MASAKO DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1394 W 16TH ST, YUMA, AZ 85364-4430
(928) 539-0055
Mailing address
1394 W 16TH ST, YUMA, AZ 85364-4430
(928) 539-0055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
62080
CA
363AM0700X
Medical Physician Assistant
Primary
10540
AZ
Other
Enumeration date
12/04/2018
Last updated
08/27/2024
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