Individual
MAIA HAYDEE TELLEZ-CATSRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 575-4657
Mailing address
1202 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3842
(619) 275-0822
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ZIAUCR
CA
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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