KERSEY FADDUOL

LOS ANGELES, CA
NPI1730838400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  61229)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-03-21
Last Update Date2023-12-22
Business Address
KERSEY FADDUOL
1419 ELLSMERE AVE
LOS ANGELES, CA 90019-3823
Phone number: 805-886-3148
Mailing Address
KERSEY FADDUOL
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049-5106
Phone number:
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