Individual
MS. KATHY AGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
14644B LAKESHORE DR, CLEARLAKE, CA 95422-9290
(707) 995-1606
(707) 995-0309
Mailing address
14644B LAKESHORE DR, CLEARLAKE, CA 95422-9290
(707) 995-1606
(707) 995-0309
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
724431
CA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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