Individual
KATHY DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REEG/EPT, CNIM
Contact information
Practice address
20331 IRVINE AVE, NEWPORT BEACH, CA 92660-0223
(877) 987-7729
Mailing address
1305 1/2 OCEAN AVE, SEAL BEACH, CA 90740-5019
(562) 234-8517
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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