KATHERINE ELIZABETH WALL

SAN DIEGO, CA
NPI1801575147
Former NameKATHERINE ROOT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   63040)
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
KATHERINE ELIZABETH WALL PA-C
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123-2762
Phone number: 858-939-6503
Mailing Address
KATHERINE ELIZABETH WALL PA-C
4007 EVERTS ST UNIT 3G
SAN DIEGO, CA 92109-5280
Phone number: 916-660-6894
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