Individual
TERE MEMUN SIDAUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
435 S CEDROS AVE STE 304, SOLANA BEACH, CA 92075-2089
(619) 240-6734
Mailing address
5309 MORNING SAGE WAY, SAN DIEGO, CA 92130-5048
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND1469
CA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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