Individual
KAITLIN KOPECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 D ST, UNION CITY, CA 94587-2428
(805) 814-0964
Mailing address
219 D ST, UNION CITY, CA 94587-2428
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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