Individual
KAREN RENEE FALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
3517 DEL REY ST, SUITE 101, SAN DIEGO, CA 92109-5759
(858) 337-8778
Mailing address
3517 DEL REY ST, SUITE 101, SAN DIEGO, CA 92109-5759
(858) 337-8778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8006
CA
Other
Enumeration date
07/15/2010
Last updated
08/05/2010
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