Individual
MR. GERALD QUENTIN BURNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
72724 29 PALMS HWY, SUITE 103, 29 PALMS, CA 92277
(760) 367-5906
Mailing address
7179 PALO ALTO #4, YUCCA VALLEY, CA 92284
(760) 365-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
CA 15832
CA
Other
Enumeration date
08/20/2006
Last updated
07/21/2022
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