Individual
ANGELINA KAISARIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 S COMMERCE ST, SUITE D, STOCKTON, CA 95202-2837
(209) 467-6825
(209) 467-6827
Mailing address
PO BOX 1434, LODI, CA 95241-1434
(209) 462-7277
(866) 950-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A78601
CA
Other
Enumeration date
08/07/2006
Last updated
02/16/2022
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