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Individual

KATHERINE DENISE DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
(209) 754-6749
Mailing address
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
(209) 754-6749

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
457072
CA

Other

Enumeration date
06/29/2018
Last updated
06/29/2018
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