KRISTINA LAUREN KISHIMOTO

AUGUSTA, GA
NPI1063864882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP008932)
Enumeration Date2016-07-05
Last Update Date2024-03-25
Business Address
KRISTINA LAUREN KISHIMOTO
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2482
Mailing Address
KRISTINA LAUREN KISHIMOTO
2012 KEW CT
GROVETOWN, GA 30813-5891
Phone number: