Individual
ANNIE FABIOLA OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDRENS WAY, MC 5111, SAN DIEGO, CA 92123-4223
(858) 966-1700
(858) 966-7521
Mailing address
6770 MOHAWK ST, SAN DIEGO, CA 92115-1641
(619) 992-4536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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