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Individual

KATHLEEN M BANKERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CA HOME CARE AIDE

Contact information

Practice address
2192 S COAST HWY, OCEANSIDE, CA 92054-6536
(760) 672-9443
Mailing address
2192 S COAST HWY, OCEANSIDE, CA 92054-6536
(760) 672-9443

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
7517245226
CA
372500000X
Chore Provider
7517245226
CA
374U00000X
Home Health Aide
Primary
7517245226
CA
376J00000X
Homemaker
7517245226
CA
385H00000X
Respite Care
7517245226
CA

Other

Enumeration date
09/17/2018
Last updated
09/17/2018
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