Individual
MR. MANUEL EDGARDO CABEZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHP
Contact information
Practice address
4980 ARVINELS AVE, SAN DIEGO, CA 92117-2324
(858) 229-7479
Mailing address
4980 ARVINELS AVE, SAN DIEGO, CA 92117-2324
(858) 229-7479
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
B1995000055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1995000055
HOLISTIC HEALTH PRACTITIONER
CA
Enumeration date
11/11/2009
Last updated
11/11/2009
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