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Individual

EDITH FITZGERALD SAVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4094 4TH AVE, SAN DIEGO, CA 92103-2143
(619) 515-2143
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 906-4564

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP7374
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7374
LIC
CA
Enumeration date
05/12/2015
Last updated
03/17/2018
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