Individual
KATHLEEN ASEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
82357 OLEANDER AVE, INDIO, CA 92201-2178
(760) 333-9547
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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