Individual
KRISTEN LEA EDGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 W 4TH ST, OXNARD, CA 93030-5910
(661) 436-2773
Mailing address
314 W 4TH ST, OXNARD, CA 93030-5910
(661) 436-2773
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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