Individual
CHRISTINE MARIE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 E AVENIDA DE LOS ARBOLES, SUITE 204, THOUSAND OAKS, CA 91360-3003
(805) 492-1015
Mailing address
430 E AVENIDA DE LOS ARBOLES, SUITE 204, THOUSAND OAKS, CA 91360-3003
(805) 492-1015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001086
IA
363A00000X
Physician Assistant
22218
CA
Other
Enumeration date
03/29/2007
Last updated
06/12/2015
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