Individual provider · Type 1 NPI
Geraldine M. Dutra, P.A.
Surgical Physician Assistant · Woodland, CA
NPI number
1396917043
Active
Practice location
632 W Gibson Rd
Woodland, CA 95695-5169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA14146 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1396917043
Geraldine M. Dutra, P.A.'s National Provider Identifier is 1396917043, issued on Apr 1, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Woodland, CA. The record was last updated on Feb 14, 2012.