Individual
ISIMENMEN IYOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDRENS WAY # MC5016, SAN DIEGO, CA 92123-4223
(858) 966-1700
Mailing address
3020 CHILDRENS WAY # MC5016, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102655
CA
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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