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Organization
VEIN & LIPOSCULPTURE CENTER
Active
Organization
VEIN & LIPOSCULPTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH MAXWELL (OFFICE MANAGER)
(619) 697-1325
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY, SUITE 241, LA MESA, CA 91942-3134
(619) 697-1325
(619) 697-2981
Mailing address
8881 FLETCHER PKWY, SUITE 241, LA MESA, CA 91942-3134
(619) 697-1325
(619) 697-2981
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G64236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G642360
—
CA
Enumeration date
03/06/2009
Last updated
03/06/2009
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