Doctor Name: | MS. MARGARET RUTH KERRO |
NPI Number: | 1124212659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHN |
License Number: | 01295 |
Business Practice Address: | 723 Walnut Dr Paso Robles, CA - 934462315 |
Business Phone Number: | 8052373050 |
Business Fax Number: | |
Mailing Address: | Po Box 1489, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934061489 |
Phone Number: | 8057811744 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 01295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |