Individual
ISMELDA GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5560 OVERLAND AVE, SAN DIEGO, CA 92123-1204
(858) 357-7574
Mailing address
5560 OVERLAND AVE, SAN DIEGO, CA 92123-1204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95061870
CA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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