MICHELLE Y STREET

TRACY, CA
NPI1245416817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA17300)
Enumeration Date2008-01-14
Last Update Date2008-01-14
Business Address
Ms. MICHELLE Y STREET PAC
23,500 KASSON RD
TRACY, CA 95378
Phone number: 209-835-4141
Mailing Address
Ms. MICHELLE Y STREET PAC
P.O. BOX 400 23,500 KASSON ROAD
TRACY, CA 95378
Phone number: 209-835-4141