NPI 1245776236

Katherine Gerow

Practitioner Prevention Professional Ridgecrest, CA

Practice location

Address: 1131 Inyokern Rd, Ridgecrest, CA 93555
Phone: (760) 446-7616
Mailing address: 1133 Rebecca Ave, Ridgecrest, CA 93555

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 16816 (CA)

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Registry record

NPI: 1245776236
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2017
Record last updated: 13 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.