institution
Mlt Kidane Physician Assistant Corporation
Medical Physician Assistant in Moreno Valley, California
NPI 1225471956

Mlt Kidane Physician Assistant Corporation is a Medical Physician Assistant based in Moreno Valley, CA and is specialized in Medical. Mlt Kidane Physician Assistant Corporation practices in Moreno Valley, CA. The NPI Number for Mlt Kidane Physician Assistant Corporation is 1225471956 and holds a License No. PA20768 (California).

The current practice location address for Mlt Kidane Physician Assistant Corporation is 12981 Perris Blvd, Moreno Valley, CA and can be reached out via phone at 951-571-0632 and via fax at 951-571-4149.

Location: 12981 Perris Blvd, Moreno Valley, CA, 92553-4102
institution
Provider Profile Details
NPI Number
1225471956
Provider Name
Mlt Kidane Physician Assistant Corporation
Credential
Provider Entity Type
Organization
Address
12981 Perris Blvd, Moreno Valley, CA, 92553-4102
Phone Number
951-571-0632
Fax Number
951-571-4149
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12981 Perris Blvd
City
State
Zip
92553-4102
Phone Number
951-571-0632
Fax Number
951-571-4149
person
Provider Business Mailing Address Details
Address
12981 Perris Blvd
City
State
Zip
92553-4102
Phone Number
951-571-0632
Fax Number
951-571-4149
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA20768 (California)
Definition
Definition to come...
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