Individual
EBU SCOHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
900 WELCH RD, SUITE 300, PALO ALTO, CA 94304-1805
(650) 325-6000
(650) 325-8091
Mailing address
900 WELCH RD, SUITE 300, PALO ALTO, CA 94304-1805
(650) 325-6000
(650) 325-8091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16685
CA
Other
Enumeration date
09/14/2005
Last updated
04/04/2016
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