Individual
MYRNA SADALGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
7405 CHARMANT DR, UNIT 2402, SAN DIEGO, CA 92122-4715
(562) 787-4919
Mailing address
7405 CHARMANT DR, UNIT 2402, SAN DIEGO, CA 92122-4715
(562) 787-4919
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
181506
CA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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