Doctor Name: | GINA HOSKING |
NPI Number: | 1043562457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA22355 |
Business Practice Address: | 600 Nut Tree Rd Suite 320 Vacaville, CA - 956874669 |
Business Phone Number: | 7074496373 |
Business Fax Number: | 7074490839 |
Mailing Address: | 278 Ballindine Dr, VACAVILLE |
State: | CA |
Postal Code: | 956889201 |
Phone Number: | 7074464157 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2012 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA22355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |