PRISCILLA STEPHANIE INDA

CHULA VISTA, CA
NPI1679008379
Former NamePRISCILLA STEPHANIE LA BERGE-INDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54404)
Enumeration Date2017-05-01
Last Update Date2022-09-16
Business Address
Ms. PRISCILLA STEPHANIE INDA PA-C
429 BROADWAY
CHULA VISTA, CA 91910-4320
Phone number: 619-434-0204
Mailing Address
Ms. PRISCILLA STEPHANIE INDA PA-C
429 BROADWAY
CHULA VISTA, CA 91910-4320
Phone number: 619-434-0204