Individual
KRICHELE ALLISON JEFFCOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55122
CA
363AS0400X
Surgical Physician Assistant
Primary
55122
CA
Other
Enumeration date
09/12/2011
Last updated
10/24/2018
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