Individual
KATHLEEN MENTINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
Mailing address
310 HARRIS AVE, SUITE A, SACRAMENTO, CA 95838-3249
(916) 649-6793
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8661
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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