Individual
MICHELLA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8690 AERO DR STE 104, SAN DIEGO, CA 92123-1759
(858) 278-4566
Mailing address
3462 LOCKWOOD DR, SAN DIEGO, CA 92123-2620
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK574589
CA
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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