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Individual

KIANDRA LENAE FAUTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
224 E RIDGECREST BLVD, RIDGECREST, CA 93555-3975
(760) 382-0622
Mailing address
4083 W AVENUE L # 1018, LANCASTER, CA 93536-4202
(760) 382-0622

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
03/19/2025
Last updated
06/18/2025
About Stedi
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