Individual
MARY JANE BERTULFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4029 CHAMOUNE AVE APT 3, SAN DIEGO, CA 92105-1844
(442) 300-8855
Mailing address
4029 CHAMOUNE AVE APT 3, SAN DIEGO, CA 92105-1844
(442) 300-8855
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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