Individual
MS. KATIE A HAERTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2781
Mailing address
6415 FILBERT AVE, ORANGEVALE, CA 95662-4109
(916) 987-5364
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
365902
CA
Other
Enumeration date
12/19/2005
Last updated
02/05/2009
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