Individual
KATHERINE KHATSENKO GADDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
3142 VISTA WAY STE 401, OCEANSIDE, CA 92056-3619
(760) 681-5222
Mailing address
3142 VISTA WAY STE 401, OCEANSIDE, CA 92056-3619
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95012401
CA
Other
Enumeration date
09/13/2019
Last updated
12/16/2024
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