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Individual

MRS. MAUREEN KITTNER HASKE PALOMINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 IRVINE HALL, IRVINE, CA 92697-4275
(949) 824-7992
(949) 824-3135
Mailing address
2640 VISTA DEL ORO, NEWPORT BEACH, CA 92660-3506
(949) 200-7482
(949) 824-3135

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
NP9289
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NP92890
MEDICAL PPIN #
CA
Enumeration date
07/21/2006
Last updated
09/15/2009
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