Individual
DAISY KLITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6065 HIGHWAY 193, GEORGETOWN, CA 95634
(530) 333-2548
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 333-2548
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
95005493
CA
363LF0000X
Family Nurse Practitioner
Primary
95005493
CA
Other
Enumeration date
11/28/2016
Last updated
06/04/2019
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