Individual
KATHARINE POTTHAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
17399 HEIGHTS LN, RIVERSIDE, CA 92503-7092
(714) 812-5283
Mailing address
17399 HEIGHTS LN, RIVERSIDE, CA 92503-7092
(714) 812-5283
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
347
CA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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