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Madeline Jean Zea, PA

Physician Assistant in Grass Valley, CA. Individual provider (NPI-1).

NPI number1962166330
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1962166330
Entity type
Individual (NPI-1)
Name
Madeline Jean Zea
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 22, 2021
Certification date
Feb 15, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant60405CAYes
207PE0004X Emergency Medicine, Emergency Medical ServicesE114977CA

Practice location

17968 Gamble Ln
Grass Valley, CA 95949-6908

Phone 530-559-7739

Mailing address

17968 Gamble Ln
Grass Valley, CA 95949-6908

Phone 530-559-7739

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