| Doctor Name: | VANESSA PATRICK |
| NPI Number: | 1437212461 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA13210 |
| Business Practice Address: | 460 W Sycamore St Willows, CA - 959882832 |
| Business Phone Number: | 5309343385 |
| Business Fax Number: | 5309343387 |
| Mailing Address: | 460 W Sycamore St, WILLOWS |
| State: | CA |
| Postal Code: | 959882832 |
| Phone Number: | 5309343385 |
| Fax Number: | 5309343387 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 03/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA13210 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |