Individual
KELSEY MARCKSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(858) 657-7000
Mailing address
3111 MACAULAY ST APT 306, SAN DIEGO, CA 92106-1961
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
95198517
CA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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