Individual
KARUNA XAYMOUNTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-2000
Mailing address
17638 WILDFLOWER PL, CHINO HILLS, CA 91709-3264
(951) 264-8215
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5869
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E5869
CA
213ES0131X
Foot Surgery Podiatrist
E5869
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2019
Last updated
04/08/2024
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