Individual
MR. RICHARD MAURICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9376 GALVIN AVE, SAN DIEGO, CA 92126-4890
(858) 530-0665
Mailing address
9376 GALVIN AVE, SAN DIEGO, CA 92126-4890
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
528761
CA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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