Individual
GARRETT IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2909 KEATS ST APT 7, SAN DIEGO, CA 92106-2345
(760) 809-1520
Mailing address
2909 KEATS ST APT 7, SAN DIEGO, CA 92106-2345
(760) 809-1520
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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