Individual
MRS. REGINA UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8509 DALLAS ST, LA MESA, CA 91942-3120
(619) 339-1731
Mailing address
9952 BARCELONA CT, SPRING VALLEY, CA 91977-3044
(619) 339-1731
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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