Marichu Nisperos, PA-C

NPI #1285998690 in Manteca, California

Provider Information

NPI Number: 1285998690
Entity Type: Individual
Name: Marichu Nisperos, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 29, 2012
Last Updated: Apr 17, 2019

Practice Location

Address: 330 NORTHGATE DR
City: Manteca
State: California
ZIP Code: 95336-3139
Phone: (209) 239-1996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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