KIRSTEN ALYSSA STATHES

REDLANDS, CA
NPI1407968324
Former NameKRISTEN ALYSSA CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA16025)
Enumeration Date2006-08-31
Last Update Date2009-06-04
Business Address
-- KIRSTEN ALYSSA STATHES P.A.-C
350 TERRACINA BLVD
REDLANDS, CA 92373-4850
Phone number: 909-335-5500
Mailing Address
-- KIRSTEN ALYSSA STATHES P.A.-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600