Individual
KATHY WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 MISSION GORGE RD # 108, SAN DIEGO, CA 92120-4008
(619) 481-5200
Mailing address
2985 KORINK AVE, SAN DIEGO, CA 92111-5725
(520) 358-4287
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-WFPIVA
CA
Other
Enumeration date
11/15/2016
Last updated
10/07/2024
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