Individual
MRS. CECELIA ROSE GREENE/PENDZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED PERMANENT
Contact information
Practice address
7760 FAY AVE, SUITE M., LA JOLLA, CA 92037
(858) 230-2340
Mailing address
7760 FAY AVE, SUITE M., LA JOLLA, CA 92037
(858) 230-2340
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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