Individual
ABBIE MAIO DE LOS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8787 CENTER DR, LA MESA, CA 91942-3034
(619) 460-4444
Mailing address
1188 CRYSTAL CV, SAN DIEGO, CA 92154-5826
(619) 917-2110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95021698
CA
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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