Individual
LAURA BUTTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13101 HARTFIELD AVE, SAN DIEGO, CA 92130-1511
(858) 259-2222
Mailing address
13101 HARTFIELD AVE, SAN DIEGO, CA 92130-1511
(858) 259-2222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9539
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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