Individual
TERA KATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12264 EL CAMINO REAL, SAN DIEGO, CA 92130-3058
(619) 384-8685
Mailing address
4954 COLLINGWOOD DR, SAN DIEGO, CA 92109-2243
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
688837
CA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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