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Individual

MRS. KATELYN PASSEY PE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
4060 FOURTH AVE, SUITE 240, SAN DIEGO, CA 92103-2116
(619) 291-2687
(619) 291-3492
Mailing address
4060 FOURTH AVE, SUITE 240, SAN DIEGO, CA 92103-2116
(619) 291-2687
(619) 291-3492

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
793963
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21263
NURSE PRACTITIONER
CA
Enumeration date
01/14/2013
Last updated
01/14/2013
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