Individual
JUDY HSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
284 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3706
(909) 677-2188
Mailing address
PO BOX 1114, TEMPLE CITY, CA 91780-1114
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55563
CA
Other
Enumeration date
05/07/2018
Last updated
03/11/2019
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