Individual
MRS. DEBRA KIRKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10620 TREENA ST STE 230, SAN DIEGO, CA 92131-1140
(619) 793-2010
Mailing address
10620 TREENA ST STE 230, SAN DIEGO, CA 92131-1140
(619) 793-2010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
133N00000X
Nutritionist
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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