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Individual

MS. KATHLEEN FRANCES COMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
5549 VAN BUREN BLVD, RIVERSIDE, CA 92503-2068
(951) 324-5901
(877) 778-9472
Mailing address
5887 BROCKTON AVE, STE A, RIVERSIDE, CA 92506-1858
(562) 499-6191
(562) 499-6171

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11406
CA
363L00000X
Nurse Practitioner
Primary
NP11406
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01363669
RAILROAD MEDICARE- DU4034
CA
Enumeration date
09/11/2006
Last updated
10/20/2016
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