Individual
AMBER RENEE DEBARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
YA ID 146968
Contact information
Practice address
2918 HAVASUPAI AVE, SAN DIEGO, CA 92117-1641
(775) 224-6043
Mailing address
2918 HAVASUPAI AVE, SAN DIEGO, CA 92117-1641
(775) 224-6043
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
146968
CA
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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