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Individual

KATHLEEN JUDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-6961
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-6961

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
640650
CA
163WD0400X
Diabetes Educator Registered Nurse
2657
CA
364S00000X
Clinical Nurse Specialist
Primary
2657
CA

Other

Enumeration date
10/20/2014
Last updated
08/09/2016
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