Individual
MRS. CLAUDETTE D POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHN, BC
Contact information
Practice address
1465 C ST, #3401, SAN DIEGO, CA 92101-5738
(608) 217-0569
Mailing address
1465 C ST, #3401, SAN DIEGO, CA 92101-5738
(608) 217-0569
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
CERT 4080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619916830
NPI
WI
Enumeration date
06/05/2006
Last updated
12/20/2013
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