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Individual

BESMA CODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
343 E MAIN ST, SUITE 201, EL CAJON, CA 92020-3913
(619) 631-7400
(619) 631-7400
Mailing address
5060 BLUFF PL, EL CAJON, CA 92020-8212
(619) 300-2331

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/26/2008
Last updated
02/26/2008
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