CASEY S REVENKO

BERKELEY, CA
NPI1790341618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: CA  PA56633)
Enumeration Date2019-05-15
Last Update Date2019-05-21
Business Address
CASEY S REVENKO PHYSICIAN ASSISTANT
2999 REGENT ST STE 225
BERKELEY, CA 94705-2117
Phone number: 510-704-7760
Mailing Address
CASEY S REVENKO PHYSICIAN ASSISTANT
2525 GOLDEN RAIN RD APT 5
WALNUT CREEK, CA 94595-1938
Phone number: 925-360-2025
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