Individual
MISS KATHERINE RAFTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3570 GRANADA AVE, SAN DIEGO, CA 92104-4145
(619) 772-1172
Mailing address
3570 GRANADA AVE, SAN DIEGO, CA 92104-4145
(619) 772-1172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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