KRISTY ELAINE MATSCHULLAT

FRESNO, CA
NPI1063702116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64279)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CO  PA.0006468)
363A00000X Physician Assistant
(Licence: NV  PA0604)
363A00000X Physician Assistant
(Licence: IL  085003971)
Enumeration Date2011-04-11
Last Update Date2024-10-10
Business Address
KRISTY ELAINE MATSCHULLAT PA-C
1780 E BULLARD AVE
FRESNO, CA 93710-5861
Phone number: 800-492-4227
Mailing Address
KRISTY ELAINE MATSCHULLAT PA-C
2100 POWELL SREET SUITE 900
EMERYVILLE, CA 94608-1803
Phone number: 510-350-2600