Individual
DR. KRISTINE DIONISIO WATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1604 BLOSSOM HILL ROAD, SUITE 10, SAN JOSE, CA 95124-6350
(408) 528-8833
Mailing address
1604 BLOSSOM HILL ROAD, SUITE 10, SAN JOSE, CA 95124-6350
(408) 528-8833
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A153834
CA
Other
Enumeration date
03/29/2014
Last updated
11/25/2020
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