Individual
MARITESS MAURICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9999 MIRA MESA BLVD, STE 103, SAN DIEGO, CA 92131-1006
(760) 546-0442
(760) 546-0355
Mailing address
9999 MIRA MESA BLVD, STE 103, SAN DIEGO, CA 92131-1006
(760) 546-0442
(760) 546-0355
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A74235
CA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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