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1194348318
THAIS SIEWERT
LA JOLLA, CA
NPI
1194348318
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Other Name
THAIS NAN KIM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95014585)
Enumeration Date
2020-05-21
Last Update Date
2022-08-05
Business Address
Dr. THAIS SIEWERT PMHNP
888 PROSPECT ST STE 200
LA JOLLA, CA 92037-4261
Phone number: 415-849-2466
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Mailing Address
Dr. THAIS SIEWERT PMHNP
17595 HARVARD AVE STE C, #169
IRVINE, CA 92614-8574
Phone number: 949-424-5444
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