Individual
KRISTIN OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 CALLE ORQUIDEAS, ENCINITAS, CA 92024-4114
(858) 692-6958
Mailing address
1518 CALLE ORQUIDEAS, ENCINITAS, CA 92024-4114
(858) 692-6958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3309
CA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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