Individual
KIMBERLY ANN AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
106 LOCKHART LN, LOS ALTOS, CA 94022-2121
(650) 559-5848
(650) 559-5848
Mailing address
106 LOCKHART LN, LOS ALTOS, CA 94022-2121
(650) 559-5848
(650) 559-5848
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
820118
CA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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