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Individual

MISS AFRA M ROET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2743 HIGHLAND AVE, NATIONAL CITY, CA 91950-7410
(619) 474-2284
(619) 474-3919
Mailing address
1250 CLEVELAND AVE, 305, SAN DIEGO, CA 92103-7300
(619) 300-1320

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11803
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA11803
CA
Enumeration date
01/30/2007
Last updated
08/29/2011
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