Individual
AUDRA ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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