Individual
VIVIAN AZUCENA CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
(619) 320-2404
Mailing address
3491 KURTZ ST STE 150, SAN DIEGO, CA 92110-4430
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
06/04/2024
Last updated
04/18/2025
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