Individual
MARIBEL VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-9901
Mailing address
1304 ORO VISTA RD APT 201, SAN DIEGO, CA 92154-5110
(619) 587-0414
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/19/2007
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