Individual
KATHRYN JO-ANNE KONIECZKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RNFA
Contact information
Practice address
18 ALLYN AVE, SAN ANSELMO, CA 94960-2204
(415) 785-3509
Mailing address
18 ALLYN AVE, SAN ANSELMO, CA 94960-2204
(415) 785-3509
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
333345
CA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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