Individual
MISS GEORGETTE RENE MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
15615 TURNBERRY ST, MORENO VALLEY, CA 92555-4901
(095) 199-2620
(951) 992-6201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 22985
CA
363AS0400X
Surgical Physician Assistant
Primary
PA 22985
CA
Other
Enumeration date
07/22/2013
Last updated
03/21/2024
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