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Individual

ERLENE LOLITA WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4267 W OVERLOOK DR, SAN DIEGO, CA 92115-6114
(619) 987-9773
Mailing address
3948 58TH ST APT 160, SAN DIEGO, CA 92115-6405
(619) 830-1818

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N7883568
DRIVER LICENSE
CA
Enumeration date
03/03/2023
Last updated
03/03/2023
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