person
Anina Dee Bacon, PA-C
Medical Physician Assistant in Fresno, California
NPI 1952739708

Anina Dee Bacon is a Medical Physician Assistant based in Fresno, CA and is specialized in Medical. Anina Dee Bacon practices in Fresno, CA and has the professional credentials of PA-C. The NPI Number for Anina Dee Bacon is 1952739708 and holds a License No. 60979 (California).

The current practice location address for Anina Dee Bacon is 2823 Fresno St, Fresno, CA and can be reached out via phone at 559-443-2682 and via fax at 559-443-2681.

Location: 2823 Fresno St, Fresno, CA, 93721-1431
person
Provider Profile Details
NPI Number
1952739708
Provider Name
Anina Dee Bacon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2823 Fresno St, Fresno, CA, 93721-1431
Phone Number
559-443-2682
Fax Number
559-443-2681
Provider Enumeration Date
10/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2034718 05 WA
institution
Provider Business Practice Location Address Details
Address
2823 Fresno St
City
State
Zip
93721-1324
Phone Number
559-443-2682
Fax Number
559-443-2681
person
Provider Business Mailing Address Details
Address
2823 Fresno St
City
State
Zip
93721-1324
Phone Number
559-443-2682
Fax Number
559-443-2681
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
60979 (California)
Definition
Definition to come...
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