Individual
CELESTE CONOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7455 SEAN TAYLOR LN, SAN DIEGO, CA 92126-6091
(858) 357-5212
Mailing address
7455 SEAN TAYLOR LN, SAN DIEGO, CA 92126-6091
(858) 357-5212
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20725
CA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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