Individual
MARYLOU CAYETANO THELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1166 K STREET, BRAWLEY, CA 92227
(760) 344-9951
Mailing address
1166 K STREET, BRAWLEY, CA 92227
(760) 344-9951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A70250
CA
Other
Enumeration date
03/30/2012
Last updated
06/17/2014
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