Individual
ANDREA HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3156 SPORTS ARENA BLVD, SAN DIEGO, CA 92110-4525
(858) 531-8011
Mailing address
3156 SPORTS ARENA BLVD, SAN DIEGO, CA 92110-4525
(858) 531-8011
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
2010021440
CA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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