Individual
MRS. CATHY E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
33353 YUCAIPA BLVD, YUCAIPA, CA 92399-2018
(909) 790-5071
(909) 790-5774
Mailing address
704 TONNER DR, POMONA, CA 91768-1651
(951) 236-4195
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
288395
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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