Individual
KATHRYN SUE PAWELEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-7797
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1137265
TX
363L00000X
Nurse Practitioner
Primary
95028388
CA
Other
Enumeration date
10/09/2023
Last updated
12/19/2023
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