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Ms. Michelle Y Street, PAC
Medical Physician Assistant in Tracy, California
NPI 1245416817

Michelle Y Street is a Medical Physician Assistant based in Tracy, CA and is specialized in Medical. Michelle Y Street practices in Tracy, CA and has the professional credentials of PAC. The NPI Number for Michelle Y Street is 1245416817 and holds a License No. PA17300 (California).

The current practice location address for Michelle Y Street is 23,500 Kasson Rd, Tracy, CA and can be reached out via phone at 209-835-4141.

Location: 23,500 Kasson Rd, Tracy, CA, 95378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245416817
Provider Name
Michelle Y Street
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
23,500 Kasson Rd, Tracy, CA, 95378
Phone Number
209-835-4141
Fax Number
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23,500 Kasson Rd
City
Tracy
State
California
Zip
95378
Phone Number
209-835-4141
Fax Number
person
Provider Business Mailing Address Details
Address
23,500 Kasson Rd
City
Tracy
State
California
Zip
95378
Phone Number
209-835-4141
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA17300 (California)
Definition
Definition to come...
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