Individual
GLENN MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-8000
Mailing address
838 GENOA WAY, SAN MARCOS, CA 92078-1076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5820
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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