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KIMBERLY ANN AXELROD CCP
>> Perfusionist >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1770795114
Individual Registrant: KIMBERLY ANN AXELROD CCP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
106 LOCKHART LN LOS ALTOS, CA 94022-2121 US
Tel: 650-559-5848 Fax: 650-559-5848
Tel: 650-559-5848 Fax: 650-559-5848
Contact information for business:
106 LOCKHART LN LOS ALTOS, CA 94022-2121 US
Tel: 650-559-5848 Fax: 650-559-5848
Tel: 650-559-5848 Fax: 650-559-5848
Registration Information:
NPI: 1770795114
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 242T00000X | Technologists, Technicians & Other Technical Service Providers Perfusionist | CA | 820118 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
