MRS. Glennise Daneen Pratt, PA-C
NPI #1447544630 in Wildomar, California
Provider Information
- NPI Number
- 1447544630
- Entity Type
- Individual
- Name
- MRS. Glennise Daneen Pratt, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 5, 2011
- Last Updated
- Feb 11, 2016
Practice Location
- Address
- 36320 INLAND VALLEY DRIVE
- Address 2
- 307
- City
- Wildomar
- State
- California
- ZIP Code
- 92595-9083
- Phone
- (951) 600-0110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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