Most Relevant Information
Provider Data
| NPI Number: | 1003496399 |
| Provider Name: | KIOSHI PATTON |
| Entity Type: | Individual |
| Taxonomy Code: | 1744P3200X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2021 |
| Last Updated: | 04/10/2021 |
Provider Practice Location
1525 WEBSTER ST STE E
FAIRFIELD
CA
945334935
Practice Location Phone/Fax
| Phone: | 7075649035 |
| Fax: |
Provider Mailing Location
1525 WEBSTER ST STE E
FAIRFIELD
CA
945334935
Provider Mailing Phone/Fax
| Phone: | 7075649035 |
| Fax: |