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Individual

MRS. ANGIE MARY MADRID-HALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3350 LA JOLLA VILLAGE DR, 664/121, SAN DIEGO, CA 92161-0002
(858) 642-1134
Mailing address
3350 LA JOLLA VILLAGE DR, 664/121, SAN DIEGO, CA 92161-0002
(858) 642-1134

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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