KATIE VICKLUN

LONG BEACH, CA
NPI1962185405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95026753)
Enumeration Date2023-08-10
Last Update Date2025-09-15
Business Address
-- KATIE VICKLUN
200 OCEANGATE STE 100
LONG BEACH, CA 90802-4317
Phone number: 562-499-6191
Mailing Address
-- KATIE VICKLUN
5038 CHAPARRAL WAY
SAN DIEGO, CA 92115-2238
Phone number: 619-602-7773
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