Individual
KATHRYN VINSON DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 WETSTONE, IRVINE, CA 92604-3694
(949) 387-3904
Mailing address
20 WETSTONE, IRVINE, CA 92604-3694
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN273156
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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