Individual
KATHRYN MITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
365 TESCONI CIR, SUITE B, SANTA ROSA, CA 95401-4617
(707) 575-6043
(707) 575-1060
Mailing address
365 TESCONI CIR, SUITE B, SANTA ROSA, CA 95401-4617
(707) 575-6043
(707) 575-1060
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
609840
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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