Individual
DR. JANE F. KARDASHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6769 N FRESNO ST, FRESNO, CA 93710-3715
(559) 435-0337
(559) 435-2918
Mailing address
6769 N FRESNO ST, FRESNO, CA 93710-3715
(559) 435-0337
(559) 435-2918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G439580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G439580
STATE LICENSE NUMBER
CA
Enumeration date
01/02/2007
Last updated
05/06/2013
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