Individual
ANNELIESE ELIZABETH VITHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 532-8225
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 710-9737
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101270691
VA
Other
Enumeration date
05/13/2019
Last updated
04/18/2024
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