Individual
KATHLEEN ROSE WINGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCN
Contact information
Practice address
7545 IRVINE CENTER DR, SUITE 200, IRVINE, CA 92618-2932
(949) 393-4219
Mailing address
7545 IRVINE CENTER DRIVE, SUITE 200, IRVINE, CA 92618
(949) 393-4219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E5661
CA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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