Individual
MARY GUIRGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6920 MIRAMAR RD, SAN DIEGO, CA 92121-2632
(858) 530-4856
Mailing address
3202 WATERMARKE PL, IRVINE, CA 92612-5616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52152
CA
363AM0700X
Medical Physician Assistant
Primary
52152
CA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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