Individual
TREANNA LYNNE MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
280 S MAIN ST, 200, ORANGE, CA 92868-3852
(714) 634-4567
(714) 634-4569
Mailing address
280 S MAIN ST, 200, ORANGE, CA 92868-3852
(714) 634-4567
(714) 634-4569
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20026
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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