Individual
MRS. RISA BOOC TUDTUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10760 N MAGNOLIA AVE, 8B, SANTEE, CA 92071-1292
(858) 537-7007
Mailing address
10760 N MAGNOLIA AVE, 8B, SANTEE, CA 92071-1292
(858) 537-7007
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
748247
CA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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