Individual
SOPHIE TALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 724-4117
Mailing address
4517 ORCHARD AVE, SAN DIEGO, CA 92107-3530
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
04/23/2018
Last updated
10/18/2018
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