Individual
KATHLEEN CAROL BLATTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
333 S TWIN OAKS VALLEY RD, SAN MARCOS, CA 92096-0001
(760) 750-4915
(760) 750-3181
Mailing address
5715 FERBER STREET, SAN DIEGO, CA 92122
(858) 452-0949
(760) 750-3181
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8969
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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