Organization
RADY CHILDREN HOSPITAL AND HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA P CLARK MSW (SOCIAL WORKER 1)
(619) 420-5611
Entity
Organization
Contact information
Practice address
1261 3RD AVE, D, CHULA VISTA, CA 91911-3262
(619) 420-5611
(619) 420-5531
Mailing address
1261 3RD AVE, D, CHULA VISTA, CA 91911-3262
(619) 420-5611
(619) 420-5531
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
ASW16491
CA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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