Search › California › 163WD1100X

Kathleen Banes-Leclair, RN

NPI 1669254892 · on the registry since 2023 · sole proprietor

Practice

Address
963 Lane Ave
Chula Vista, CA 91914
Phone
(615) 693-9245
Organisation at this address
Srs-San Diego Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163WD1100X
163WD1100X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California