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Organization

PHYSICIAN MEDICAL RESOURCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELICA DELASERNA (MANAGER)
87786313936
Entity
Organization

Contact information

Practice address
1341 E VALLEY PKWY, #219, ESCONDIDO, CA 92027-2311
(877) 863-1396
Mailing address
1341 E. VALLEY PARKWAY, #219, ESCONDIDO, CA 92027

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
09/24/2008
Last updated
09/24/2008
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