Individual
DARLA RUTH MUDGE LAATSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3073 COLINA VERDE LN, JAMUL, CA 91935-3005
(619) 507-0848
Mailing address
3073 COLINA VERDE LN, JAMUL, CA 91935-3005
(619) 303-2671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
407472
CA
363LF0000X
Family Nurse Practitioner
Primary
95021056
CA
Other
Enumeration date
04/13/2022
Last updated
06/09/2022
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