Mary Katherine Maddock
Mary Katherine Maddock is a Psychiatric/Mental Health Nurse Practitioner in Culver City, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
9808 Venice Blvd Ste 700Culver City, CA 90232-2732
Phone: (310) 945-3350
Fax: (310) 945-3356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 23327 (CA) |
|---|
Record details
| NPI number | 1457790594 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2013 |
| Last updated in NPPES | November 26, 2021 |
| Certification date | November 26, 2021 |
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