Individual
CAMERON TRISTAN MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5905 SEVERIN DR, LA MESA, CA 91942-3806
(619) 589-2606
Mailing address
6343 NEWSOME DR, SAN DIEGO, CA 92115-7017
(760) 405-5373
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50880
CA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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