Individual
ABISHUA BERDUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 LOGAN AVE, SAN DIEGO, CA 92113-2411
(619) 232-4357
Mailing address
3942 COLDWELL LN, SAN DIEGO, CA 92154-2511
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
273913
CA
Other
Enumeration date
04/08/2014
Last updated
04/23/2014
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