Individual
MS. LAURIE MAUREEN EIVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120-3425
(619) 481-5200
(619) 461-5219
Mailing address
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120-3425
(619) 481-5200
(619) 461-5219
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-GTCYLJ
CA
Other
Enumeration date
09/02/2021
Last updated
09/21/2023
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