Individual
KAITLIN B BEARDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110-3844
(619) 275-0822
Mailing address
321 CASSIDY ST, OCEANSIDE, CA 92054-5314
(760) 721-2171
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/22/2020
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