NPI | 1619431145 |
---|---|
Former Name | RHEA ESCANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56549) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA pa56549) |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2019-01-29 |
Last Update Date | 2022-01-26 |