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Individual

MS. MONICA ANN KIEFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
842 2ND ST, ENCINITAS, CA 92024-4408
(760) 436-6882
Mailing address
842 SECOND STREET, ENCINITAS, CA 92024-4408
(760) 436-6882

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
20A5594
CA
208D00000X
General Practice Physician
Primary
20A5594
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX55940
CA
Enumeration date
07/26/2006
Last updated
02/13/2008
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