Individual
EKATERINA KANDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4645
Mailing address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61523
CA
Other
Enumeration date
05/07/2022
Last updated
12/06/2022
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