Individual
SOE SOE WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2531 CHESTER AVE, BAKERSFIELD, CA 93301-2012
(661) 337-7108
(661) 337-7253
Mailing address
2531 CHESTER AVE, BAKERSFIELD, CA 93301-2012
(661) 337-7108
(661) 337-7253
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A115454
CA
Other
Enumeration date
01/02/2011
Last updated
11/29/2021
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