Individual provider · NPI-1
Josephine Appeng, PA-C
Physician Assistant · Stockton, CA
NPI number1457974255
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1457974255
- Entity type
- Individual (NPI-1)
- Name
- Josephine Appeng
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2020
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2626 N California StStockton, CA 95204-5500
Phone 209-466-2626
Mailing address
Po Box 690082Stockton, CA 95269-0082
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