Individual
JASON TAI KREIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7741 SAINT BERNARD ST APT 2, PLAYA DEL REY, CA 90293-8318
(858) 245-6645
Mailing address
7741 SAINT BERNARD ST APT 2, PLAYA DEL REY, CA 90293-8318
(858) 245-6645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
241073
AZ
363L00000X
Nurse Practitioner
Primary
95014032
CA
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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