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Kristen Lea Edgell

Technician in Oxnard, CA. Individual provider (NPI-1).

NPI number1760099345
StatusActive
Last updated in NPPESSep 28, 2020

Details

NPI
1760099345
Entity type
Individual (NPI-1)
Name
Kristen Lea Edgell
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2020
Certification date
Sep 28, 2020
Last updated
Sep 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes
363AM0700X Physician Assistant, Medical––

Practice location

314 W 4th St
Oxnard, CA 93030-5910

Phone 661-436-2773

Mailing address

314 W 4th St
Oxnard, CA 93030-5910

Phone 661-436-2773

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