Individual
MRS. KATIE JO DEL RIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Mailing address
4125 KAHAKAHA LN, KAILUA, HI 96734-6840
(808) 375-4925
(949) 253-4627
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
HI
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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