Individual
KAILI MASAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 VETERANS DRIVE, WHITE RIVER JUNCTION, VT 05009-4857
(802) 295-9363
Mailing address
1311 CASSINS ST, CARLSBAD, CA 92011-4857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
06/10/2021
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