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Individual

DR. RENEE GREGORIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3636 5TH AVE, #300, SAN DIEGO, CA 92103-4230
(619) 814-5500
(619) 794-0260
Mailing address
3636 5TH AVE, #300, SAN DIEGO, CA 92103-4230
(619) 814-5500
(619) 794-0260

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3514
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E35142
CA
Enumeration date
07/06/2006
Last updated
02/15/2010
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