Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA WHITE CPNP (PEDIATRIC NURSE PRACTITIONER)
(619) 532-6886
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6886
Mailing address
2148 ESTELA DR, EL CAJON, CA 92020-1010
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
L1-0029636
DE
Other
Enumeration date
12/20/2006
Last updated
08/13/2008
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