Individual
MIGUEL D MENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9265 DOWDY DR, STE 211, SAN DIEGO, CA 92126-6370
(858) 549-1045
(858) 549-1030
Mailing address
9265 DOWDY DR, STE 211, SAN DIEGO, CA 92126-6370
(858) 549-1045
(858) 549-1030
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
06/18/2008
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