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Individual

MISS KATHLEEN MARIE YOUNGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPAC

Contact information

Practice address
7910 FROST ST, SUITE 100, SAN DIEGO, CA 92123-2771
(858) 634-5900
Mailing address
7910 FROST ST, SUITE 100, SAN DIEGO, CA 92123-2771
(858) 634-5900

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
010814-1
NY
363AS0400X
Surgical Physician Assistant
Primary
21492
CA

Other

Enumeration date
11/17/2006
Last updated
11/15/2011
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