Individual
KATHRYN BEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9750 MIRAMAR RD STE 130, SAN DIEGO, CA 92126-4561
(206) 829-0218
Mailing address
3632 1/2 MEADE AVE, SAN DIEGO, CA 92116-3619
(206) 829-0218
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
L9694
CA
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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