Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Mar 24, 2015
License(s)
NP95007801 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3020 CHILDRENS WAY # MC5003 | San Diego, CA 92123-4223 | 858-309-6300 |
| LOCATION | 3020 CHILDRENS WAY | San Diego, CA 92123-4223 | 858-966-5855 |
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