Individual
ALEKSANDR TELETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6560 GREENBACK LN, SUITE 200, CITRUS HEIGHTS, CA 95621-6237
(916) 745-1214
(916) 745-7027
Mailing address
6560 GREENBACK LN, SUITE 200, CITRUS HEIGHTS, CA 95621-6237
(916) 745-1214
(916) 745-7027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22041
CA
Other
Enumeration date
04/30/2012
Last updated
08/15/2012
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