Individual
CATHERINE NKECHI AJALA-STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1126 N 2ND ST, EL CAJON, CA 92021-5008
(916) 447-0910
Mailing address
1126 N 2ND ST, EL CAJON, CA 92021-5008
(916) 447-0910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006286
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95006286
CA
Other
Enumeration date
10/03/2017
Last updated
03/06/2023
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