Individual
KARLA AUGUSTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
TRICARE OUTPATIENT CLINIC, 8808 BALBOA AVE., SAN DIEGO, CA 92123
(858) 569-6664
Mailing address
TRICARE OUTPATIENT CLINIC, 8808 BALBOA AVE., SAN DIEGO, CA 92123
(858) 569-6664
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
470454
CA
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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