Individual
COURTNEY KATHRYN HOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4060 FOURTH AVE STE 209, SAN DIEGO, CA 92103-2120
(619) 320-4807
Mailing address
752 C AVE APT C, CORONADO, CA 92118-2245
(603) 732-6962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58627
CA
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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