Individual
TAIT NIELSON CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Mailing address
333 N UNIVERSITY ST, APT #33, REDLANDS, CA 92374-4303
(909) 684-7317
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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