Organization
TEAM TONGUE TIE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA L. SACKER (OWNER)
(858) 480-9454
Entity
Organization
Contact information
Practice address
12625 HIGH BLUFF DR STE 313, SAN DIEGO, CA 92130-2054
(858) 480-9454
Mailing address
12625 HIGH BLUFF DR STE 313, SAN DIEGO, CA 92130-2054
(858) 480-9454
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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