Organization
GERDEZ PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L JETER MSW (PRESIDENT)
(858) 472-2621
Entity
Organization
Contact information
Practice address
6367 ALVARADO CT, SUITE 201, SAN DIEGO, CA 92120-4904
(858) 472-2621
(619) 294-7356
Mailing address
6367 ALVARADO CT, SUITE 201, SAN DIEGO, CA 92120-4904
(858) 472-2621
(619) 294-7356
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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