Most Relevant Information
Provider Data
| NPI Number: | 1003431305 |
| Provider Name: | CHELSEA MARIE BREKKE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA58187 |
Most Important Dates
| Enumeration Date: | 06/11/2020 |
| Last Updated: | 06/11/2020 |
Provider Practice Location
1528 EUREKA RD
ROSEVILLE
CA
956613047
Practice Location Phone/Fax
| Phone: | 9167725325 |
| Fax: |
Provider Mailing Location
4485 BLACKBIRD DR
FOLSOM
CA
956308693
Provider Mailing Phone/Fax
| Phone: | 6199871648 |
| Fax: |