Stephanie House

 
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 11 
 TRI VALLEY ORTHOPEDIC . 4696 Willow Road, PLEASANTON CA 96988-8694 
 FOSTER, Edward (id #369169, BIRTHDATE: Feb 14, 1990) 
 Date of Encounter: Sep 01, 2017 
 Patient 
 Name 
 Stephanie House (38yo, M) ID# 
 Appt. Date/Time 
 Nov 16, 2021 03:40PM 
 326912 
 BIRTHDATE 
 Feb 14, 1990 
 Service Dept. 
 TRACY OFFICE 
 Provider 
 SEAN DOUGHERTY, DPM 
 Insurance 
 Med Worker's Comp: CORVEL - CRUM AND FORSTER 
 Chief Complaint 
 Right Ankle pain 
 Patient's Care Team 
 Insurance Adjuster (Worker's Comp): LETICIA BAILON: Ph (769) 269-1691, Fax (869) 6269-6691 
 Medications 
 Reviewed Medications 
 atorvastatin 20 mg tablet 
 10/04/17 filled 
 069069 
 0691
