SUSU XI

STANFORD, CA
NPI1780202002
Other NameXIAOYUAN XI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60189)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: MD  C07749)
Enumeration Date2020-07-13
Last Update Date2022-01-25
Business Address
SUSU XI PA-C
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000
Mailing Address
SUSU XI PA-C
300 PASTEUR DR
STANFORD, CA 94305-2200
Phone number: 650-723-4000