Individual
KIMBERLY K HOTTMANN-WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
324 ENCINITAS BLVD, ENCINITAS, CA 92024-3723
(760) 436-4050
(760) 436-9380
Mailing address
4836 TWAIN AVE, SAN DIEGO, CA 92120-4222
(760) 436-4050
(760) 436-9380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15954
CA
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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