Individual
ERICA EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
558 SAINT CHARLES DR STE 110, THOUSAND OAKS, CA 91360-3967
(805) 449-8781
(805) 449-4224
Mailing address
558 SAINT CHARLES DR STE 110, THOUSAND OAKS, CA 91360-3967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56566
CA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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