SUSAN MARIE POWELL

THOUSAND OAKS, CA
NPI1326815663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA63730)
Enumeration Date2023-12-06
Last Update Date2023-12-06
Business Address
SUSAN MARIE POWELL
558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA 91360-3968
Phone number: 804-379-2322
Mailing Address
SUSAN MARIE POWELL
558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA 91360-3968
Phone number: