Individual
LORE MARY KREEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
815 POLLARD RD, LOS GATOS, CA 95032-1438
(408) 866-4045
Mailing address
19 CREEKSIDE LN, SAN MATEO, CA 94401-2992
(415) 412-6282
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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