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Individual

DR. ALICE MO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3575 KENYON ST, SUITE 200, SAN DIEGO, CA 92110-5333
(858) 449-3021
Mailing address
PO BOX 80036, SAN DIEGO, CA 92138-0036
(858) 449-3021

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G075196
CA

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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