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Katherine Thede

Registered Nurse in Santa Ana, CA. Individual provider (NPI-1).

NPI number1396166328
StatusActive
Last updated in NPPESDec 17, 2013

Details

NPI
1396166328
Entity type
Individual (NPI-1)
Name
Katherine Thede
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 17, 2013
Last updated
Dec 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse823225CAYes

Practice location

1100 N Tustin Ave Ste D1
Santa Ana, CA 92705-3531

Phone 714-571-0588

Mailing address

911 Lombard Ct
Costa Mesa, CA 92626-6925

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