Individual
BERNICE HAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3645 MIDWAY DR, SAN DIEGO, CA 92110-5202
(619) 222-9736
Mailing address
3645 MIDWAY DR, SAN DIEGO, CA 92110-5202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49726
CA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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