Individual
GENEVIEVE MARIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13855 E 14TH ST, SAN LEANDRO, CA 94578-2611
(510) 357-6500
Mailing address
150 LORALEE PL, PLEASANT HILL, CA 94523-3923
(916) 792-7992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54403
CA
Other
Enumeration date
06/18/2017
Last updated
06/02/2022
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