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Individual

DAISY CUBE DAMASCO-GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
386 E H ST, SUITE 210, CHULA VISTA, CA 91910-7485
(619) 427-5053
(619) 427-1437
Mailing address
386 E H ST, SUITE 210, CHULA VISTA, CA 91910-7485
(619) 427-5053
(619) 427-1437

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A66993
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A669930
CA
Enumeration date
04/17/2006
Last updated
11/07/2011
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