Individual
GUILLEMETTE CALDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3241 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-6924
(805) 544-4460
Mailing address
1143 13TH ST, LOS OSOS, CA 93402-1401
(510) 205-0705
(510) 205-0705
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA64780
CA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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