Individual
KATHRYN E STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17095 MAIN ST, HESPERIA, CA 92345-6004
(760) 956-4133
(760) 956-9297
Mailing address
17095 MAIN ST, HESPERIA, CA 92345-6004
(760) 956-4133
(760) 956-9297
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
21897
CA
Other
Enumeration date
10/14/2011
Last updated
12/15/2021
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