Individual
MARITESS BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 HOTEL CIR N STE 314, SAN DIEGO, CA 92108-2803
(619) 759-1548
Mailing address
1660 HOTEL CIR N STE 314, SAN DIEGO, CA 92108-2803
(619) 759-1548
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-SJGVAT
CA
Other
Enumeration date
10/13/2023
Last updated
12/11/2023
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