Individual
CIELO REINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9290 MURRAY DR, LA MESA, CA 91942-3501
(619) 337-0639
Mailing address
9290 MURRAY DR, LA MESA, CA 91942-3501
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
374602588
CA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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