Individual
MS. KATHLEEN NONE GUSKY-SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
105 VISTA VIEW DR, 105 VISTA VIEW DR.,, CLOVERDALE, CA 95425-3373
(707) 894-7409
Mailing address
105 VISTA VIEW DR, 105 VISTA VIEW DR.,, CLOVERDALE, CA 95425-3373
(707) 894-7409
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CAOT#12
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA 12
NBCOT AA060681
CA
Enumeration date
11/20/2006
Last updated
06/27/2011
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