Individual
MS. KATHLEEN HELEN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
785 8TH ST, IMPERIAL BEACH, CA 91932
(916) 424-6531
Mailing address
785 8TH ST, IMPERIAL BEACH, CA 91932-2111
(619) 424-6531
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
436716
CA
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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