Individual
KATIE JUSTINE KORNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(833) 574-2273
Mailing address
601 E 2ND ST APT 303, LOS ANGELES, CA 90012-4176
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2026000994
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
95002657
CA
Other
Enumeration date
02/16/2024
Last updated
04/10/2026
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