person
Lacee Marie Childers, PA
Medical Physician Assistant in Riverside, California
NPI 1073816583

Lacee Marie Childers is a Medical Physician Assistant based in Corona, CA and is specialized in Medical. Lacee Marie Childers practices in Riverside, CA and has the professional credentials of PA. The NPI Number for Lacee Marie Childers is 1073816583 and holds a License No. PA21251 (California).

The current practice location address for Lacee Marie Childers is 4445 Magnolia Ave, Riverside, CA and can be reached out via phone at 951-788-3200 and via fax at 951-788-3200.

Location: 4445 Magnolia Ave, Riverside, CA, 92877-0183
person
Provider Profile Details
NPI Number
1073816583
Provider Name
Lacee Marie Childers
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4445 Magnolia Ave, Riverside, CA, 92877-0183
Phone Number
951-788-3200
Fax Number
951-788-3200
Provider Enumeration Date
12/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4445 Magnolia Ave
City
State
Zip
92501-4135
Phone Number
951-788-3200
Fax Number
951-788-3200
person
Provider Business Mailing Address Details
Address
4445 Magnolia Ave
City
State
Zip
92501-4135
Phone Number
951-788-3200
Fax Number
951-788-3200
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA21251 (California)
Definition
Definition to come...
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