Individual
HANNA A HOUDE-GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 HAWTHORN ST, SAN DIEGO, CA 92104-5619
(619) 892-0886
Mailing address
3350 HAWTHORN ST, SAN DIEGO, CA 92104-5619
(619) 892-0886
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9540
CA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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