Individual
PAIGE TETREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2367 MORNINGSIDE ST, SAN DIEGO, CA 92139
(619) 292-5785
Mailing address
2367 MORNINGSIDE ST, SAN DIEGO, CA 92139-3017
(619) 292-5785
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
D5608291
CA
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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