Individual
MRS. IRENE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E 24TH ST, NATIONAL CITY, CA 91950-6705
(619) 474-6741
Mailing address
5386 GREENBRIER AVE, SAN DIEGO, CA 92120-2836
(619) 253-2293
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7663
CA
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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