Individual
MRS. KATHRYN SUE DEFRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1801 WESTWIND DR, BAKERSFIELD, CA 93301-3028
(661) 632-1842
(661) 632-1830
Mailing address
1801 WESTWIND DR, BAKERSFIELD, CA 93301-3028
(661) 632-1842
(661) 632-1830
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
AEF859
CA
126800000X
Dental Assistant
Primary
RDA30457
CA
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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