NPI 1023848165

Guillemette Calderwood

Practitioner Medical Physician Assistant San Luis Obispo, CA

Practice location

Address: 3241 S Higuera St, San Luis Obispo, CA 93401-6924
Phone: (805) 544-4460
Mailing address: 1143 13th St, Los Osos, CA 93402-1401

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA64780 (CA)

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Registry record

NPI: 1023848165
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2024
Record last updated: 5 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.