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Xaleese Evelyn Kueppers, CST
Technician/Technologist in Studio City, California
NPI 1235771643

Xaleese Evelyn Kueppers is a Technician/Technologist based in Valencia, CA. Xaleese Evelyn Kueppers practices in Studio City, CA and has the professional credentials of CST. The NPI Number for Xaleese Evelyn Kueppers is 1235771643 and holds a License No. (California).

The current practice location address for Xaleese Evelyn Kueppers is 12265 Ventura Blvd Ste 107, Studio City, CA and can be reached out via phone at 310-691-5411.

Location: 12265 Ventura Blvd Ste 107, Studio City, CA, 91354-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235771643
Provider Name
Xaleese Evelyn Kueppers
Credential
CST
Provider Entity Type
Individual
Gender
Female
Address
12265 Ventura Blvd Ste 107, Studio City, CA, 91354-3000
Phone Number
310-691-5411
Fax Number
Provider Enumeration Date
10/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
152799 01 CA SURGICAL TECHNOLOGIST
institution
Provider Business Practice Location Address Details
Address
12265 Ventura Blvd Ste 107
City
Studio City
State
California
Zip
91604-2530
Phone Number
310-691-5411
Fax Number
person
Provider Business Mailing Address Details
Address
12265 Ventura Blvd Ste 107
City
Studio City
State
California
Zip
91604-2530
Phone Number
310-691-5411
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
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Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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