Individual
RYANEW HILL DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3828 BREMS ST, SAN DIEGO, CA 92115-7010
(858) 261-1973
Mailing address
PO BOX 152598, SAN DIEGO, CA 92195-2598
(858) 261-1973
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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