Doctor Name: | ANGELA ZENOBI |
NPI Number: | 1467889451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA23268 |
Business Practice Address: | 888 N Alta Ave Dinuba, CA - 936183001 |
Business Phone Number: | 5595951000 |
Business Fax Number: | |
Mailing Address: | 513 Florence Dr, VACAVILLE |
State: | CA |
Postal Code: | 956882050 |
Phone Number: | 7073307470 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2013 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA23268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |