Individual
KRISTINA LYNN WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 BALTRA PL, COSTA MESA, CA 92626-3516
(714) 641-6868
Mailing address
2015 BALTRA PL, COSTA MESA, CA 92626-3516
(714) 641-6868
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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