LACEE MARIE CHILDERS

RIVERSIDE, CA
NPI1073816583
Former NameLACEE MARIE MARSHALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA21251)
Enumeration Date2010-12-06
Last Update Date2013-09-14
Business Address
-- LACEE MARIE CHILDERS PA
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501-4135
Phone number: 951-788-3200
Mailing Address
-- LACEE MARIE CHILDERS PA
PO BOX 79495
CORONA, CA 92877-0183
Phone number: 951-788-3000
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