Individual
CERRA MICHAELA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
7650 GIRARD AVE STE 401, LA JOLLA, CA 92037-4447
(858) 412-0228
Mailing address
5035 SANTA MONICA AVE, SAN DIEGO, CA 92107-2809
(609) 713-4943
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1128
CA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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