Individual
MRS. KATHY MITTLEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 CAMPUS DR, ANNEX, HANFORD, CA 93230-4375
(559) 582-3211
(559) 582-8388
Mailing address
330 CAMPUS DR, ANNEX, HANFORD, CA 93230-4375
(559) 582-3211
(559) 582-8388
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
197129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197129
RN LICENSE
CA
Enumeration date
04/20/2007
Last updated
07/08/2007
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