Individual
MRS. MADELINE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15525 POMERADO RD STE C1, POWAY, CA 92064-2425
(858) 451-7944
Mailing address
15525 POMERADO RD STE C1, POWAY, CA 92064-2425
(858) 451-7944
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95027123
CA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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