Individual
GAIL MARY KATIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
551 HASTINGS DR, BENICIA, CA 94510-1303
(925) 360-4892
Mailing address
551 HASTINGS DR, BENICIA, CA 94510-1303
(925) 360-4892
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
496929
CA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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