Individual
MRS. MARITES N MACASADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
610 EUCLID AVE, SUITE 302, NATIONAL CITY, CA 91950-2951
(619) 527-7700
(619) 527-2336
Mailing address
610 EUCLID AVE, SUITE 302, NATIONAL CITY, CA 91950-2951
(619) 527-7700
(619) 527-2336
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062450
—
CA
Enumeration date
06/29/2006
Last updated
11/17/2020
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