ALLYSON ENTWISTLE
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1275313686- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2101 N WATERMAN AVE, SAN BERNARDINO, CA, 924044836
- Phone
- (909) 883-8711
Specialties & Taxonomies
Emergency Medicine
License: CA #PA63414
Physician Assistant
Primary License: CA #63414