Individual
MARY GISELLE EREVERA-FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
794 KINGSWOOD ST, SAN DIEGO, CA 92114-7158
(619) 892-6120
Mailing address
794 KINGSWOOD ST, SAN DIEGO, CA 92114-7158
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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