Individual
DUSTIN JOHN KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1919 21ST ST, SUITE 101, SACRAMENTO, CA 95811-6827
(916) 317-4483
Mailing address
1919 21ST ST, SUITE 101, SACRAMENTO, CA 95811-6827
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8099
CA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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