Individual
MAYRA ALEJANDRA PRECIADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 SHADOW TREE DR, OCEANSIDE, CA 92058-7022
(760) 362-3966
Mailing address
504 ROJA ST, OCEANSIDE, CA 92057-4317
(760) 472-9527
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9588865
DRIVER LICENSE
CA
Enumeration date
09/24/2019
Last updated
09/24/2019
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