Individual
KATHLEEN CASAMIQUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28261 MARGUERITE PKWY STE 200, MISSION VIEJO, CA 92692-3702
(949) 542-8500
Mailing address
28261 MARGUERITE PKWY STE 200, MISSION VIEJO, CA 92692-3702
(949) 542-8500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A-140795
CA
Other
Enumeration date
06/08/2012
Last updated
06/30/2021
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