Individual
CHRISTIAN MICHAEL KONDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13523 SOHAIL ST, LAKESIDE, CA 92040-4762
(619) 564-9461
Mailing address
13523 SOHAIL ST, LAKESIDE, CA 92040-4762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60948
CA
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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