Individual
TRICIA L PUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 PARK CREEK DR, CLOVIS, CA 93611-4426
(559) 326-2800
Mailing address
305 PARK CREEK DR, CLOVIS, CA 93611-4426
(559) 326-2800
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
57.012041
OH
Other
Enumeration date
05/16/2008
Last updated
12/23/2011
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