Individual
MRS. EMMILY JO WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCCI
Contact information
Practice address
10717 CAMINO RUIZ, #207, SAN DIEGO, CA 92126-7102
(858) 695-2211
Mailing address
10237 KEPPLER PL, SAN DIEGO, CA 92124-2507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PCCI 2635
CA
Other
Enumeration date
02/24/2015
Last updated
02/03/2016
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