Peggy Jane Deforest, P.A.
NPI #1447460522 in Shasta Lake, California
Provider Information
- NPI Number
- 1447460522
- Entity Type
- Individual
- Name
- Peggy Jane Deforest, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- May 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5145 SHASTA DAM BLVD
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9403
- Phone
- (530) 275-5421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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