Individual
LIDIA NEGRETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
(858) 514-0375
(858) 514-0383
Mailing address
3760 CONVOY ST STE 204, SAN DIEGO, CA 92111-3744
(858) 514-0375
(858) 514-0383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3128
CA
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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