KRISTINA WIDJAJA

DALLAS, TX
NPI1942319173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA03752)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Ms. KRISTINA WIDJAJA PA-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-2171
Mailing Address
Ms. KRISTINA WIDJAJA PA-C
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-2171
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