SCOTT KEVIN ISHMAEL

FOLSOM, CA
NPI1073701322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  pa18592)
Enumeration Date2007-10-11
Last Update Date2007-10-11
Business Address
-- SCOTT KEVIN ISHMAEL PA-C
1350 BROADSTONE PKWY APPT 3622
FOLSOM, CA 95630-8478
Phone number: 530-409-5755
Mailing Address
-- SCOTT KEVIN ISHMAEL PA-C
1350 BROADSTONE PKWY APPT 3622
FOLSOM, CA 95630-8478
Phone number: 530-409-5755
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