Individual
DR. KRISTIN WOOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
132 43RD ST, MANHATTAN BEACH, CA 90266-3007
(310) 867-0510
Mailing address
132 43RD ST, MANHATTAN BEACH, CA 90266-3007
(310) 867-0510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A140077
CA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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