Individual
SOPHIA A GUALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3134
(619) 692-8808
(619) 692-8827
Mailing address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3134
(619) 692-8808
(619) 692-8827
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN482037
CA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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