Individual
KATHRYN MAHONEY O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
317 2ND ST, EUREKA, CA 95501-0425
(707) 476-4981
(707) 476-4998
Mailing address
317 2ND ST, EUREKA, CA 95501-0425
(707) 476-4981
(707) 476-4998
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
389678
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
389678
CA
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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