Individual
CHRISTINA SOPHIA KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
27300 IRIS AVE, MORENO VALLEY, CA 92555
(951) 251-6565
Mailing address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54726
CA
Other
Enumeration date
08/08/2017
Last updated
08/10/2018
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