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Organization
RADY CHILDREN'S HOSPITAL
Active
Organization
RADY CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA KRATZE (CLINICAL DIRECTOR)
(858) 966-5838
Entity
Organization
Contact information
Practice address
3020 CHILDRENS WAY, MC 5010, SAN DIEGO, CA 92123-4223
(858) 966-5838
Mailing address
3020 CHILDRENS WAY, MC 5010, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE 4739
CA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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