KEVIN A VIDA

RANCHO MIRAGE, CA
NPI1023000122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  000867)
Enumeration Date2005-08-16
Last Update Date2012-04-17
Business Address
KEVIN A VIDA PA C
39000 BOB HOPE DRIVE HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-568-2684
Mailing Address
KEVIN A VIDA PA C
P.O. BOX 1730
RANCHO MIRAGE, CA 92270-1058
Phone number: 760-568-2684
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