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Organization
SANDY FOOT SPC
Active
Organization
SANDY FOOT SPC
Active
Other names
Sandy Foot
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTE BENITEZ (PRESIDENT)
(706) 459-1235
Entity
Organization
Contact information
Practice address
615 PROSPECT ST, LA JOLLA, CA 92037-4226
(706) 459-1235
Mailing address
9525 GENESEE AVE APT 211, SAN DIEGO, CA 92121-2024
(706) 459-1235
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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