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Organization
PUMPHREY PATCH KIDZ, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
PUMPHREY PATCH KIDZ, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN SPAAN (MANAGER)
(951) 679-3159
Entity
Organization
Contact information
Practice address
29798 HAUN RD STE 304, MENIFEE, CA 92586-6542
(951) 679-3159
(951) 679-0250
Mailing address
29798 HAUN RD STE 304, MENIFEE, CA 92586-6542
(951) 679-3159
(951) 679-0250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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