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Individual

KRISTINE TAGWERKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
700 W EL NORTE PKWY, ESCONDIDO, CA 92026-3923
(760) 738-7830
(760) 738-7834
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6751

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4409
CA
367500000X
Certified Registered Nurse Anesthetist
AP128437
TX

Other

Enumeration date
09/16/2013
Last updated
04/14/2022
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