Individual
CHINASA BERENICE CAMPOVERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 CAMINO DEL RIO N STE 450, SAN DIEGO, CA 92108-1603
(858) 633-4115
Mailing address
2655 CAMINO DEL RIO N STE 450, SAN DIEGO, CA 92108-1603
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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