Kodiath, Mary F.

Kodiath, Mary F. is an individual health care provider with primary practice located at 3350 Lajolla Village Drive , San Diego CA 92161-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kodiath, Mary F. can be contacted via phone (858) 552-8585.

Contact Information

Primary practice address

3350 Lajolla Village Drive San Diego CA 92161-0001

Phone: (858) 552-8585

Fax:

Website:

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Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	366086	California

Profile Details

NPI number	1891748026
LBN Legal business name	Kodiath, Mary F.
Credentials	Nurse Practitioner (NP)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 18th, 2006
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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