Individual
KRISTALLE C PAYANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11034 N 23RD DR # 105B, PHOENIX, AZ 85029-4743
(602) 639-0189
Mailing address
347 MOUNT PLEASANT AVE, SUITE 205, WEST ORANGE, NJ 07052-2744
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7218
AZ
Other
Enumeration date
12/05/2011
Last updated
02/12/2020
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