Provider Demographics
NPI:1982386074
Name:WRINKLE, HELEN RAY (PA)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:RAY
Last Name:WRINKLE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5426 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-1817
Mailing Address - Country:US
Mailing Address - Phone:951-217-5516
Mailing Address - Fax:
Practice Address - Street 1:6848 MAGNOLIA AVE STE 220
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2858
Practice Address - Country:US
Practice Address - Phone:951-981-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant