Individual
ANNE MARIE CAMILLE PUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1196 3RD AVE, CHULA VISTA, CA 91911-3131
(925) 548-3602
Mailing address
1196 3RD AVE, CHULA VISTA, CA 91911-3131
(925) 548-3602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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