Individual
MS. CARLA BETH OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
892 27TH ST., SAN DIEGO, CA 92154
(619) 575-4687
(619) 575-1215
Mailing address
892 27TH ST., SAN DIEGO, CA 92154
(619) 575-4687
(619) 575-1215
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
544407
CA
Other
Enumeration date
04/30/2009
Last updated
04/15/2016
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