Organization
SHARP HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY MILLER ACSM-CEP (EXERCISE SPECIALIST, MANAGER)
(858) 939-3482
Entity
Organization
Contact information
Practice address
7947 BIRMINGHAM DR, SAN DIEGO, CA 92123-2704
(858) 939-3482
Mailing address
7947 BIRMINGHAM DR, SAN DIEGO, CA 92123-2704
Taxonomy
Speciality
Code
Description
License number
State
261QR0404X
Cardiac Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730156/1042560
AMERICAN COLLEGE OF SPORTS MEDICINE- CERTIFIED CLINICAL EXERCISE PHYSIOLOGIST
—
Enumeration date
04/29/2016
Last updated
04/29/2016
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