Individual
JOHN BARTON KAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.C.S
Contact information
Practice address
1119 ENCANTO WAY, PACIFICA, CA 94044-3344
(650) 576-3953
Mailing address
1119 ENCANTO WAY, PACIFICA, CA 94044-3344
(650) 576-3953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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