Individual
IVORIE PEARL WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 N SANTA FE AVE, VISTA, CA 92084-3002
(760) 207-6679
Mailing address
1627 N SANTA FE AVE, VISTA, CA 92084-3002
(760) 207-6679
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
03/26/2021
Last updated
03/29/2021
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