Individual
MS. CASEY NICOLE GERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14011 PARK AVE, DEPT. OF FAMILY MEDICINE, VICTORVILLE, CA 92392
(760) 843-2423
Mailing address
14011 PARK AVE, DEPT. OF FAMILY MEDICINE, VICTORVILLE, CA 92392
(760) 843-2423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1085196
CA
363A00000X
Physician Assistant
Primary
PA20023
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/23/2008
Last updated
01/26/2012
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