Individual
VERONICA MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6242 MALCOLM DR, SAN DIEGO, CA 92115-5704
(619) 997-0429
Mailing address
9249 BIRCH ST APT 13, SPRING VALLEY, CA 91977-4156
(619) 362-1166
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1584148
DRIVER LICENSE
CA
Enumeration date
09/24/2019
Last updated
09/24/2019
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