Kate Jacki Berlin
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1215595772
StatusActive
Last updated in NPPESMay 30, 2019
Details
- NPI
- 1215595772
- Entity type
- Individual (NPI-1)
- Name
- Kate Jacki Berlin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2019
- Last updated
- May 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
200 W Arbor Dr # Mc8765San Diego, CA 92103-1911
Phone 619-543-2460 · Fax 619-543-3505
Mailing address
200 W Arbor Dr # Mc8765San Diego, CA 92103-1911
Phone 619-543-2460 · Fax 619-543-3505
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