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Individual

KRISTINA JACQUELYN ST.CLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-1213
Mailing address
139 DOUGLAS AVENUE, PORTSMOUTH, VA 23707
(845) 216-2401

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
010220059
VA
207RI0200X
Infectious Disease Physician
Primary
0102202059
VA

Other

Enumeration date
10/23/2006
Last updated
03/12/2025
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