Individual
DEIDRE FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3151 AIRWAY AVE STE D1, COSTA MESA, CA 92626-4622
(714) 964-6730
(714) 964-4382
Mailing address
3151 AIRWAY AVE STE D1, COSTA MESA, CA 92626-4622
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
848011
CA
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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