Individual
MISS GEORGINA RAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7526 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1504
(858) 743-7526
Mailing address
13821 DURANGO DR, DEL MAR, CA 92014-3115
(858) 353-0317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54629
CA
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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